Active NPI
Sole Support Restorative Footwear, LLC
- Durable Medical Equipment & Medical Supplies
- Brenham, TX
National Provider Identifier
1275628323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SOLE SUPPORT RESTORATIVE FOOTWEAR, LLC
- Practice address
- 905 E. Alamo Street
Brenham, TX 77833 - Phone
- (979) 421-9908
- NPI assigned
- Oct 4, 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
- Donna Steinbach
- Title
- Managing Member
- Phone
- (979) 421-9908
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
905 E. Alamo Street
Brenham, TX 77833
Mailing address
905 E. Alamo Street
Brenham, TX 77833
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 531951 | Other | TX | BLUE CROSS/BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
905 E Alamo St
Brenham, TX 77833
Phone (979) 421-9908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1275628323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 E. ALAMO STREET",
"city": "BRENHAM",
"state": "TX",
"postal_code": "77833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 E. ALAMO STREET",
"city": "BRENHAM",
"state": "TX",
"postal_code": "77833",
"telephone_number": "979-421-9908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOLE SUPPORT RESTORATIVE FOOTWEAR, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STEINBACH",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "979-421-9908"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "531951",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brenham, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.