Antwaun Burroughs

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

775 Issued in AL

Practice address

181 W Valley Ave Ste 225
Birmingham, AL 35209-3691

Phone

(205) 919-3900

NPI assigned

Jan 29, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brace Yourself Orthotics & Prostetics, LLC.

  • Orthotist
  • Birmingham, AL
  • NPI 1538641774
  Authorized official Same address or phone

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1265930812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 W VALLEY AVE STE 225",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352093691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 W VALLEY AVE STE 225",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352093691",
            "telephone_number": "205-919-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROUGHS",
        "first_name": "ANTWAUN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthotist",
            "state": "AL",
            "license": "775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Burns, PA-C
• Tracie Burrage, RN, BSN
• Mary Williams Burrell, CRNA
• Tasha Nekia Burrell, LMSW
• Jennifer Carol Burris, NNP
• Carla Tiara Burroughs, LMSW
• Madison Kay Burroughs
• Tiffany Burroughs
• Ciara O'Megan Burrows, LMSW
• Anne Cook Burruss, ALC, NBCC

• Orthotist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Orthotist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.