Bader Prosthetics & Orthotics, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

POR53 Issued in FL

Legal business name

BADER PROSTHETICS & ORTHOTICS, INC

Practice address

125 Chapman Rd E
Lutz, FL 33549-8106

Phone

(813) 962-6100

NPI assigned

May 23, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Wade Bader, CPO

Title

President

Phone

(813) 962-6100

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1194728147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CHAPMAN RD E",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335498106",
            "telephone_number": "813-962-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CHAPMAN RD E",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335498106",
            "telephone_number": "813-962-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BADER PROSTHETICS & ORTHOTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "BADER",
        "authorized_official_first_name": "WADE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-962-6100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "POR53",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "M2130",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "218107",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Back in Health Wellness Center LLC
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• Delila Lyn Backus
• Frank James Badala, D.C.
• Jennifer Eileen Bade
• Bailey Marriage, Family and Child Therapy Services
• Bridget Erin Bailey
• Christian Said Najeep Bailey, MD
• Cindy Carol Bailey, LMHC, NCC, NBCCH
• Paula L Bailey, L.M.F.T

• Prosthetic/Orthotic Supplier in Lutz, FL
• Providers in Lutz, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.