Micah Spradling, CPO,LPO

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

1568 Issued in TX

Practice address

3719 24TH St
Lubbock, TX 79410-2015

Phone

(806) 792-0395

Fax

(806) 792-0396

NPI assigned

Jun 4, 2012

Last updated

Aug 23, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Brace Place (DME)

  • Durable Medical Equipment & Medical Supplies
  • Lubbock, TX
  • NPI 1427205707
  NPD (past)
• The Brace Place Inc.

  • Durable Medical Equipment & Medical Supplies
  • Lubbock, TX
  • NPI 1477596724

  Orthotist

  NPD (past)

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345680000000",
    "number": "1316208598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 24TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794102015",
            "telephone_number": "806-792-0395",
            "fax_number": "806-792-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 24TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794102015",
            "telephone_number": "806-792-0395",
            "fax_number": "806-792-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRADLING",
        "first_name": "MICAH",
        "credential": "CPO,LPO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "TX",
            "license": "1568",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "TX",
            "license": "1568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricky Dean Spinks
• Spiro Stat Technologies, L.P.
• Robin Renee Splawn, SLP
• Georgia Rae Spolec, NURSE PRACTITIONER
• Scott Steven Spore, M.D.
• Timothy Spradling, ABC-BOC LO
• Juli Ann Springer, LCSW
• Kelly Springer
• William Eugene Springer, MD
• Courtney D Sproul, DC

• Prosthetist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Prosthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; 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.