NPIMap

Organization Active NPI

Floyd Brace Company, Inc.

  • Prosthetic/Orthotic Supplier
  • Walterboro, SC
National Provider Identifier
1154653145
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
FLOYD BRACE COMPANY, INC.
Practice address
138 Bells Hwy
Walterboro, SC 29488-2776
Phone
(843) 782-3638
Fax
(843) 782-3637
NPI assigned
Feb 2, 2010
Organization subpart
Yes
Parent organization
FLOYD BRACE COMPANY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Authorized official

Name
Maurice A. Johnson, CO
Title
Owner/ President
Phone
(843) 412-3102

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

138 Bells Hwy
Walterboro, SC 29488-2776

Mailing address

9213 University Blvd Ste D
North Charleston, SC 29406-9145
Phone (843) 614-6400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930044203 SC DME Supplier - Medical Supply Company With Orthotic-Prosthetic 7517084791 Practice locations: Walterboro, SC

Other NPIs with the same Medicare PAC ID 5

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

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Floyd Brace Company, Inc.138 Bells Hwy, Walterboro, SC 29488-2776(843) 782-3638 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Floyd Brace Company Inc8 organizations share this tax ID, including this one
Part of
Floyd Brace Company Inc

Other organizations with this tax ID 7

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

Locations

138 Bells Hwy
Walterboro, SC 29488
Phone (843) 782-3638

NPI Registry JSON

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1154653145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9213 UNIVERSITY BLVD STE D",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069145",
            "telephone_number": "843-614-6400",
            "fax_number": "843-873-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 BELLS HWY",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294882776",
            "telephone_number": "843-782-3638",
            "fax_number": "843-782-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOYD BRACE COMPANY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLOYD BRACE COMPANY, INC.",
        "enumeration_date": "2010-02-02",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "843-412-3102",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walterboro, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.