Organization Active NPI

Bremer Brace of Florida, Inc

  • Prosthetic/Orthotic Supplier
  • Ormond Beach, FL
National Provider Identifier
1336730639
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
BREMER BRACE OF FLORIDA, INC
Practice address
290 Clyde Morris Blvd Ste D1
Ormond Beach, FL 32174-8204
Phone
(904) 625-7074
Fax
(904) 214-0077
NPI assigned
Jan 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Authorized official

Name
Todd Norton, L.P., C.P
Title
President
Phone
(904) 353-8508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

290 Clyde Morris Blvd Ste D1
Ormond Beach, FL 32174-8204

Mailing address

2236 Park St
Jacksonville, FL 32204-4316
Phone (904) 353-8508

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tadkins@bremeroandp.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Bremer Brace of Florida Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680825600000",
    "number": "1336730639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236 PARK ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044316",
            "telephone_number": "904-353-8508",
            "fax_number": "904-214-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 CLYDE MORRIS BLVD STE D1",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748204",
            "telephone_number": "904-625-7074",
            "fax_number": "904-214-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREMER BRACE OF FLORIDA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A",
        "authorized_official_last_name": "NORTON",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-353-8508",
        "authorized_official_credential": "L.P., C.P"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tadkins@bremeroandp.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "290 Clyde Morris Blvd Ste D1",
            "city": "Ormond Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321748204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.