Organization Active NPI

Kingsport Brace and Limb, Inc.

  • Prosthetics Case Management
  • Kingsport, TN
National Provider Identifier
1255425526
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Legal business name
KINGSPORT BRACE AND LIMB, INC.
Practice address
921 Broad St
Kingsport, TN 37660-3801
Phone
(423) 246-3324
Fax
(423) 246-9176
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

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

Authorized official

Name
Mr. Terry Allen Graybeal, CPO
Title
President/Cpo
Phone
(423) 246-3324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case ManagementGroup: 193400000X SINGLE SPECIALTY GROUP 1744P3200X Primary

Addresses

Primary practice location

921 Broad St
Kingsport, TN 37660-3801

Mailing address

921 Broad St
Kingsport, TN 37660-3801
Phone (423) 246-3324

National Provider Directory

National Provider Directory

Locations

921 Broad St
Kingsport, TN 37660
Phone (423) 246-3324

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1255425526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 BROAD ST",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603801",
            "telephone_number": "423-246-3324",
            "fax_number": "423-246-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 BROAD ST",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603801",
            "telephone_number": "423-246-3324",
            "fax_number": "423-246-9176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSPORT BRACE AND LIMB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "GRAYBEAL",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT/CPO",
        "authorized_official_telephone_number": "423-246-3324",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.