Active NPI
Bader Prosthetics Orthotics
- Orthotist
- Tampa, FL
National Provider Identifier
1194765081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- POR53
- Legal business name
- BADER PROSTHETICS ORTHOTICS
- Practice address
- 13711 N Dale Mabry Hwy
Tampa, FL 33618 - Phone
- (813) 962-6100
- Fax
- (813) 961-0247
- NPI assigned
- Jun 7, 2006
- 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. Wade Bader, CPO
- Title
- Owner Practitioner
- Phone
- (813) 962-6100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | POR53 | FL | Primary |
| Prosthetist | 224P00000X | POR53 | FL |
Addresses
Primary practice location
13711 N Dale Mabry Hwy
Tampa, FL 33618
Mailing address
13711 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 962-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M2130 | Other | FL | BCBS |
National Provider Directory
National Provider DirectoryLocations
13711 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 374-4619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1194765081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13711 N DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "33618",
"telephone_number": "813-962-6100",
"fax_number": "813-961-0247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13711 N DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "33618",
"telephone_number": "813-962-6100",
"fax_number": "813-961-0247"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BADER PROSTHETICS ORTHOTICS",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-07",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "BADER",
"authorized_official_first_name": "WADE",
"authorized_official_title_or_position": "OWNER PRACTITIONER",
"authorized_official_telephone_number": "813-962-6100",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPO"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthotist",
"state": "FL",
"license": "POR53",
"primary": true
},
{
"code": "224P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Prosthetist",
"state": "FL",
"license": "POR53",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "M2130",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.