Coastal Brace and Limb Center LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

COASTAL BRACE AND LIMB CENTER LLC

Practice address

1508 Hwy 501
Myrtle Beach, SC 29577

Phone

(843) 340-1775

Fax

(843) 692-3094

NPI assigned

May 25, 2007

Organization subpart

No

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

Authorized official

Name

Harold J Barfield

Title

Owner

Phone

(843) 340-1775

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194936690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 HIGHWAY 501",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295779746",
            "telephone_number": "843-340-1775",
            "fax_number": "843-444-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 HWY 501",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29577",
            "telephone_number": "843-340-1775",
            "fax_number": "843-692-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL BRACE AND LIMB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARFIELD",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-340-1775"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME699",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon James Coakley, MD
• Erin Stephanie Coakley, PA-C
• Jenna Coakley, NP
• Coastal Anesthesia Medical Group, LLC
• Coastal Auditory Associates LLC.
• Coastal Cancer Center LLC
• Coastal Cancer Center LLC
• Coastal Cardiovascular Surgery, LLC
• Coastal Care Health Network LLC
• Coastal Carolina Allergy & Asthma Associates, PC

• Customized Equipment (DME) in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Customized Equipment (DME) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.