Brenner Orthotic & Prosthetic Laboratories Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

BRENNER ORTHOTIC & PROSTHETIC LABORATORIES INC

Doing business as

MIchigan Institute For Electronic Limb Development

Practice address

32975 8 Mile Rd
Livonia, MI 48152-1337

Phone

(248) 615-0601

Fax

(248) 615-0606

NPI assigned

Mar 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Carl D Brenner, CPO FAAOP

Title

President

Phone

(248) 615-0601

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MIchigan Institute For Electronic Limb Development Doing business as

Locations

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336117746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32975 8 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521337",
            "telephone_number": "248-615-0601",
            "fax_number": "248-615-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32975 8 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521337",
            "telephone_number": "248-615-0601",
            "fax_number": "248-615-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENNER ORTHOTIC & PROSTHETIC LABORATORIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRENNER",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-615-0601",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO FAAOP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0461990001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIchigan Institute For Electronic Limb Development",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Breakthrough Rehab Center LLC
• Madeline Bredeweg
• David William Breeden, M.S.W.
• Brittany Breimayer
• Breanna Brennan
• Kennie Cecilia Brenner, P.T.
• Michael Joel Brenner, MD
• Brentwood Pediatrics PC
• Angela Rae Brenz, LLMSW
• Lindsey Breslin

• Prosthetic/Orthotic Supplier in Livonia, MI
• Providers in Livonia, MI by specialty
• Prosthetic/Orthotic Supplier in Michigan

• 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.

Verify at the official NPI Registry.