Active NPI
Ibrace Ortho LLC
- Durable Medical Equipment & Medical Supplies
- Macon, MO
National Provider Identifier
1225830177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- IBRACE ORTHO LLC
- Practice address
- 1706 Prospect Dr
Macon, MO 63552-2615 - Phone
- (660) 385-1006
- Fax
- (660) 385-1028
- NPI assigned
- Mar 24, 2025
- Last updated
- May 9, 2025
- 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
- Donet Main, DO
- Title
- Member
- Phone
- (660) 385-1006
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1706 Prospect Dr
Macon, MO 63552-2615
Mailing address
1706 Prospect Dr
Macon, MO 63552-2615
Phone (660) 385-1006
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, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Surgery Physician
- Macon, MO
- NPI 1861409625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746748800000",
"number": "1225830177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1706 PROSPECT DR",
"city": "MACON",
"state": "MO",
"postal_code": "635522615",
"telephone_number": "660-385-1006",
"fax_number": "660-385-1028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 PROSPECT DR",
"city": "MACON",
"state": "MO",
"postal_code": "635522615",
"telephone_number": "660-385-1006",
"fax_number": "660-385-1028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IBRACE ORTHO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-24",
"last_updated": "2025-05-09",
"certification_date": "2025-05-09",
"status": "A",
"authorized_official_last_name": "MAIN",
"authorized_official_first_name": "DONET",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "660-385-1006",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.