NPIMap

Organization Active NPI

Brevard Prosthetics & Orthotics, Inc

Doing business as Cardinal P & O

  • Prosthetic/Orthotic Supplier
  • Estero, FL
National Provider Identifier
1144692013
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
BREVARD PROSTHETICS & ORTHOTICS, INC
Doing business as
Cardinal P & O
Practice address
10201 Arcos Ave Ste 104
Estero, FL 33928-9460
Phone
(239) 955-4778
Fax
(321) 638-4559
NPI assigned
Oct 30, 2015
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
BREVARD PROSTHETICS & ORTHOTICS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Laura Allen
Title
Contracting Manager
Phone
(336) 339-9671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X FL Primary

Addresses

Primary practice location

10201 Arcos Ave Ste 104
Estero, FL 33928-9460

Mailing address

8695 Connecticut St Ste E
Merrillville, IN 46410-6240
Phone (321) 225-8001

Other names 1

  • Cardinal P & O Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160329002053 FL DME Supplier - Medical Supply Company With Orthotic-Prosthetic 1557482445 Practice locations: Fort Myers, FL

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Brevard Prosthetics Orthotics Inc4 organizations share this tax ID, including this one
Part of
Brevard Prosthetics Orthotics Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

10201 Arcos Ave
Ste 104
Estero, FL 33928
Phone (239) 955-4778

2223 S Washington Ave
Ste A
Titusville, FL 32780
Phone (321) 225-8001

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1144692013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8695 CONNECTICUT ST STE E",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106240",
            "telephone_number": "321-225-8001",
            "fax_number": "321-225-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 ARCOS AVE STE 104",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339289460",
            "telephone_number": "239-955-4778",
            "fax_number": "321-638-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREVARD PROSTHETICS & ORTHOTICS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BREVARD PROSTHETICS & ORTHOTICS, INC.",
        "enumeration_date": "2015-10-30",
        "last_updated": "2025-09-02",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CONTRACTING MANAGER",
        "authorized_official_telephone_number": "336-339-9671"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardinal P & O",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Estero, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.