Active NPI
B&L Prosthetics
- Prosthetic/Orthotic Supplier
- Lufkin, TX
National Provider Identifier
1194051383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 1418
- Legal business name
- B&L PROSTHETICS
- Practice address
- 704 Gaslight Blvd
Lufkin, TX 75904-3153 - Phone
- (936) 634-0013
- Fax
- (936) 634-0015
- NPI assigned
- Oct 23, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brooks Ryan Raney, CP
- Title
- Owner
- Phone
- (936) 634-0013
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | 1418 | TX | Primary |
Addresses
Primary practice location
704 Gaslight Blvd
Lufkin, TX 75904-3153
Mailing address
704 Gaslight Blvd
Lufkin, TX 75904-3153
Phone (936) 634-0013
Other names 1
- Twin City Orthotics and Prosthetics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930079840 | TX | DME Supplier - Prosthetic Personnel | 2961693239 | Practice locations: Lufkin, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| B&L Prosthetics | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Accepts assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Lufkin, TX
- NPI 1124097399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1561420800000",
"number": "1194051383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 GASLIGHT BLVD",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043153",
"telephone_number": "936-634-0013",
"fax_number": "936-634-0015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 GASLIGHT BLVD",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043153",
"telephone_number": "936-634-0013",
"fax_number": "936-634-0015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "B&L PROSTHETICS",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-23",
"last_updated": "2019-06-25",
"status": "A",
"authorized_official_last_name": "RANEY",
"authorized_official_first_name": "BROOKS",
"authorized_official_middle_name": "RYAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "936-634-0013",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CP"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "TX",
"license": "1418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Twin City Orthotics and Prosthetics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.