Organization Active NPI

Brace a-Cross LLC

  • Durable Medical Equipment & Medical Supplies
  • Southlake, TX
National Provider Identifier
1215387048
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1001756 Issued in TX
Legal business name
BRACE A-CROSS LLC
Practice address
2813 W Southlake Blvd
Suite 100
Southlake, TX 76092-6829
Phone
(817) 310-8783
NPI assigned
Jun 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Authorized official

Name
Pete Rose
Title
Manager
Phone
(817) 875-7748

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1001756 TX Primary

Addresses

Primary practice location

2813 W Southlake Blvd
Suite 100
Southlake, TX 76092-6829

Mailing address

2813 W Southlake Blvd
Suite 100
Southlake, TX 76092-6829
Phone (817) 310-8783

National Provider Directory

National Provider Directory

Locations

2813 W Southlake Blvd
Ste 100
Southlake, TX 76092
Phone (682) 345-8010

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1215387048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 W SOUTHLAKE BLVD",
            "address_2": "SUITE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926829",
            "telephone_number": "817-310-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 W SOUTHLAKE BLVD",
            "address_2": "SUITE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926829",
            "telephone_number": "817-310-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRACE A-CROSS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "PETE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-875-7748"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1001756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.