Envision Bracing

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ENVISION BRACING

Practice address

1108 14TH St
Suite 148
Cody, WY 82414-3743

Phone

(307) 213-6006

Fax

(307) 333-0337

NPI assigned

Oct 9, 2016

Last updated

May 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ibeth Buitrago

Title

Ceo/Director

Phone

(307) 213-6006

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1475971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1285184754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 14TH ST",
            "address_2": "SUITE 148",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143743",
            "telephone_number": "307-213-6006",
            "fax_number": "307-333-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 14TH ST",
            "address_2": "SUITE 148",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143743",
            "telephone_number": "307-213-6006",
            "fax_number": "307-333-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION BRACING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-09",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "BUITRAGO",
        "authorized_official_first_name": "IBETH",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "307-213-6006"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.