Active NPI
Bioadvance Prosthetic Solutions, PLLC
- Prosthetic/Orthotic Supplier
- Allen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 1525
- Legal business name
- BIOADVANCE PROSTHETIC SOLUTIONS, PLLC
- Practice address
- 1111 Raintree Cir
Suite 150
Allen, TX 75013-4901 - Phone
- (972) 521-6101
- Fax
- (972) 521-6102
- NPI assigned
- Jan 13, 2016
- Last updated
- Nov 2, 2020
- 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. Scott Wayne Williams, C.P.O., L.P
- Title
- Prosthetist
- Phone
- (972) 521-6101
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | 1525 | TX | Primary |
| Prosthetist | 224P00000X | 1525 | TX |
Addresses
Primary practice location
1111 Raintree Cir
Suite 150
Allen, TX 75013-4901
Mailing address
1111 Raintree Cir
Suite 150
Allen, TX 75013-4901
Phone (972) 521-6101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160506001496 | TX | DME Supplier - Prosthetic Personnel | 2365741766 | Practice locations: Allen, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Bioadvance Prosthetic Solutions | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Medical Physician Assistant
- McKinney, TX
- NPI 1336330737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604275200000",
"number": "1235595737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 RAINTREE CIR",
"address_2": "SUITE 150",
"city": "ALLEN",
"state": "TX",
"postal_code": "750134901",
"telephone_number": "972-521-6101",
"fax_number": "972-521-6102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 RAINTREE CIR",
"address_2": "SUITE 150",
"city": "ALLEN",
"state": "TX",
"postal_code": "750134901",
"telephone_number": "972-521-6101",
"fax_number": "972-521-6102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIOADVANCE PROSTHETIC SOLUTIONS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-13",
"last_updated": "2020-11-02",
"certification_date": "2020-11-02",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "PROSTHETIST",
"authorized_official_telephone_number": "972-521-6101",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "C.P.O., L.P"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "TX",
"license": "1525",
"primary": true
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "TX",
"license": "1525",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allen, TX
- Bidwell Dialysis LLC (Allen Dialysis)
- Gaelle Raissa Nana Bieleu, FNP
- Bien Best Care, LLC (Always Best Care of Collin County)
- Bilingual Speech Pathology Services
- Bio-Medical Applications of Texas, Inc. (Fresenius Medical Care Allen)
- Birthing Associates, PLLC
- Bonita Bishop
- Christina Rose Bishop, PA-C
- David Roe Bishop, D.D.S.
- Kendall Marie Bishop, NP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.