Anderson Brace & Limb PLLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

87 Issued in TN

Legal business name

ANDERSON BRACE & LIMB PLLC

Practice address

569 Skyline Dr Ste 201
Jackson, TN 38301-3933

Phone

(731) 300-3698

Fax

(731) 300-0742

NPI assigned

Mar 22, 2018

Last updated

Mar 22, 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

Mark Wesley Anderson, CPONPI 1467492660

Title

Owner

Phone

(731) 286-6006

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Wesley Anderson, CPO

  • Prosthetist
  • Dyersburg, TN
  • NPI 1467492660
  Authorized official Same address or phone

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1306340476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E PARKVIEW ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243110",
            "telephone_number": "731-286-6006",
            "fax_number": "731-286-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 SKYLINE DR STE 201",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013933",
            "telephone_number": "731-300-3698",
            "fax_number": "731-300-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON BRACE & LIMB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-22",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-286-6006",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TN",
            "license": "87",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alexandra Laine Anderson
• Anahita Anderson, FNP
• Brittany Zinelle Anderson
• Charles B Anderson, M.D.
• Cynthia G Anderson, CRNA

• Prosthetic/Orthotic Supplier in Jackson, TN
• Providers in Jackson, TN by specialty
• Prosthetic/Orthotic Supplier in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.