Tennessee Brace and Medical Services LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0000000652 Issued in TN

Legal business name

TENNESSEE BRACE AND MEDICAL SERVICES LLC

Practice address

118 Shelbyville Hwy
Fayetteville, TN 37334-7128

Phone

(931) 438-2777

Fax

(931) 438-2778

NPI assigned

Oct 26, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Christy Jo Brown

Title

Director of Operation

Phone

(931) 438-2777

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• TENNESSEE BRACE AND MEDICAL SERVICE Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1144210600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 SHELBYVILLE HWY",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373347128",
            "telephone_number": "931-438-2777",
            "fax_number": "931-438-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 SHELBYVILLE HWY",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373347128",
            "telephone_number": "931-438-2777",
            "fax_number": "931-438-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE BRACE AND MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATION",
        "authorized_official_telephone_number": "931-438-2777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "0000000652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TENNESSEE/TENNCAR",
            "identifier": "3163024",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454107",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TENNESSEE BRACE AND MEDICAL SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adam Suszczynski, RN
• Hannah Sweeton
• Brittany Swinford
• Julie Tate
• Christal Taylor, PHARMD
• Tennessee in-Home Partner-III, LLC
• Tennessee Oncology PLLC
• Sarah Moon Thelen, MD
• Theresa T Morrison MD PLLC
• Neila Susan Thompson, CRNP

• All providers in Fayetteville, TN
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.