Tennessee Limb and Brace LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

PRO-7 Issued in TN

Legal business name

TENNESSEE LIMB AND BRACE LLC

Practice address

735 W Jackson St
Cookeville, TN 38501-3993

Phone

(931) 854-9455

NPI assigned

Jan 18, 2012

Organization subpart

No

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

Authorized official

Name

Barry D DavidsonNPI 1740550284

Title

Member

Phone

(931) 854-9455

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Tennessee Limb and Brace LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tennessee Limb and Brace LLC

  • Prosthetic/Orthotic Supplier
  • Crossville, TN
  • NPI 1972336667
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Tennessee Limb and Brace LLC

  • Prosthetic/Orthotic Supplier
  • Crossville, TN
  • NPI 1972336667
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barry Dee Davidson, CP 3147,

  • Prosthetist
  • Cookeville, TN
  • NPI 1740550284

  Orthotist

  NPD (past) Authorized official
• Cody Daniel Whittaker, CPOA

  • Prosthetist
  • Cookeville, TN
  • NPI 1629686480

  Orthotist

  NPD (past)

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1326319633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 W JACKSON ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013993",
            "telephone_number": "931-854-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 W JACKSON ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013993",
            "telephone_number": "931-854-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE LIMB AND BRACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "931-854-9455"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TN",
            "license": "PRO-7",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TN",
            "license": "ORT-6",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Cookeville, TN
• Providers in Cookeville, 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 Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.