Charleston Brace Company, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

CHARLESTON BRACE COMPANY, LLC

Practice address

726 Broughton St
Orangeburg, SC 29115-6648

Phone

(877) 552-7223

Fax

(843) 871-0600

NPI assigned

Sep 29, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Nathaniel Jackson, CO, CPED

Title

Owner

Phone

(843) 871-0600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1235448994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3489 LADSON RD STE C",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564330",
            "telephone_number": "843-871-0600",
            "fax_number": "843-871-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 BROUGHTON ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291156648",
            "telephone_number": "877-552-7223",
            "fax_number": "843-871-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON BRACE COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-871-0600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CO, CPED"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Prosthetic/Orthotic Supplier in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.