Premium Braces LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PREMIUM BRACES LLC

Doing business as

Premium Braces LLC

Practice address

239 E Kingsbridge Rd Apt 1E
Bronx, NY 10458-4431

Phone

(347) 517-1312

NPI assigned

Jul 19, 2024

Last updated

Jul 30, 2024By 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

Alex John

Title

Office Manager

Phone

(315) 215-0644

Specialties & licenses 1

Addresses

Other names 1

• PREMIUM BRACES LLC Doing business as

Locations

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1174361315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 E KINGSBRIDGE RD APT 1E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104584431",
            "telephone_number": "315-215-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 E KINGSBRIDGE RD APT 1E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104584431",
            "telephone_number": "347-517-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM BRACES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "315-215-0644"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREMIUM BRACES LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premier HME Health Care
• Premier Medical Associate PC
• Premier Medical Supply Co.
• Premier Oral Surgery, PLLC
• Premier Orthopedics & Sports Medicine
• Premium Bronx Corp
• Mabel Prempeh
• Monica Prempeh
• Colin Martin Prendergast I
• Daniel Joseph Prentice, MD

• Durable Medical Equipment & Medical Supplies in Bronx, NY
• Providers in Bronx, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.