Artificial Limb and Brace Center Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

005 Issued in AL

Legal business name

ARTIFICIAL LIMB AND BRACE CENTER INC.

Practice address

218 E 16TH St
Anniston, AL 36207-3810

Phone

(256) 236-2562

Fax

(256) 236-2521

NPI assigned

May 18, 2006

Last updated

Feb 26, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jack S Nevills, L.P.O.

Title

President/Owner

Phone

(256) 236-2562

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1093768491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 E 16TH ST",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362073810",
            "telephone_number": "256-236-2562",
            "fax_number": "256-236-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 E 16TH ST",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362073810",
            "telephone_number": "256-236-2562",
            "fax_number": "256-236-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTIFICIAL LIMB AND BRACE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "NEVILLS",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "256-236-2562",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.P.O."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "005",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "AL",
            "license": "005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000056129",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "51056129",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Anniston, AL
• Providers in Anniston, AL by specialty
• Prosthetic/Orthotic Supplier in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.