Brace It O&P

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

BRACE IT O&P

Practice address

3170 W Sahara Ave Ste 150
Las Vegas, NV 89102-6004

Phone

(702) 478-5848

Fax

(702) 478-5565

NPI assigned

Feb 19, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Yahve Gonzalez, BOCO

Title

Orthotist

Phone

(702) 478-5848

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

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

Locations

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1184124885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 W SAHARA AVE STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891026004",
            "telephone_number": "702-478-5848",
            "fax_number": "702-478-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 W SAHARA AVE STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891026004",
            "telephone_number": "702-478-5848",
            "fax_number": "702-478-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRACE IT O&P",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-19",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "YAHVE",
        "authorized_official_title_or_position": "ORTHOTIST",
        "authorized_official_telephone_number": "702-478-5848",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BOCO"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Mastectomy Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Maya Brabson
• Ana Louisa Bracamonte, MFTI
• Eryck Nicko Bracamonte
• Karina Isela Bracamonte
• Emily Yvette Bracamontes
• Antonio Brace
• Elizabeth Brace
• Jerray Redor Braceros-Inofinada, RN, BSN
• Jefferson Bracey, DO
• Jerri L Bracey, DNP

• Prosthetic/Orthotic Supplier in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Prosthetic/Orthotic Supplier in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.