Active NPI
Kingsport Brace and Limb, Inc.
- Prosthetics Case Management
- Kingsport, TN
National Provider Identifier
1255425526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 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 DirectoryLocations
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.