Organization Active NPI

Georgia Bracing Center

  • Durable Medical Equipment & Medical Supplies
  • Albany, GA
National Provider Identifier
1164889580
Registry record updated Jan 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GEORGIA BRACING CENTER
Practice address
2021 N Slappey Blvd
Ste 203
Albany, GA 31701-1001
Phone
(800) 206-4904
NPI assigned
Jan 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2016

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

Authorized official

Name
Juan Buitrago
Title
Ceo
Phone
(800) 206-4904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2021 N Slappey Blvd
Ste 203
Albany, GA 31701-1001

Mailing address

2021 N Slappey Blvd
Ste 203
Albany, GA 31701-1001
Phone (800) 206-4904

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1452902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452902400000",
    "number": "1164889580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 N SLAPPEY BLVD",
            "address_2": "STE 203",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011001",
            "telephone_number": "800-206-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 N SLAPPEY BLVD",
            "address_2": "STE 203",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011001",
            "telephone_number": "800-206-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA BRACING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-16",
        "last_updated": "2016-01-16",
        "status": "A",
        "authorized_official_last_name": "BUITRAGO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-206-4904"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.