Active NPI
Florida Bracing Centers Inc
- Orthotist
- Fort Lauderdale, FL
National Provider Identifier
1356337604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- ORT109
- Legal business name
- FLORIDA BRACING CENTERS INC
- Practice address
- 500 SE 17TH St
Suite 301
Fort Lauderdale, FL 33316-2547 - Phone
- (954) 525-6700
- Fax
- (954) 525-4330
- NPI assigned
- Sep 22, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Mattern
- Title
- President
- Phone
- (954) 525-6700
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | ORT109 | FL | Primary |
| Prosthetist | 224P00000X | POR141 | FL | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1312313 | FL |
Addresses
Primary practice location
500 SE 17TH St
Suite 301
Fort Lauderdale, FL 33316-2547
Mailing address
500 SE 17TH St
Suite 301
Fort Lauderdale, FL 33316-2547
Phone (954) 525-6700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 032008100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239667200000",
"number": "1356337604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 SE 17TH ST",
"address_2": "SUITE 301",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333162547",
"telephone_number": "954-525-6700",
"fax_number": "954-525-4330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SE 17TH ST",
"address_2": "SUITE 301",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333162547",
"telephone_number": "954-525-6700",
"fax_number": "954-525-4330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA BRACING CENTERS INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-22",
"last_updated": "2009-04-14",
"status": "A",
"authorized_official_last_name": "MATTERN",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-525-6700",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthotist",
"state": "FL",
"license": "ORT109",
"primary": true
},
{
"code": "224P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Prosthetist",
"state": "FL",
"license": "POR141",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "FL",
"license": "1312313",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "032008100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
- Rocio Karinna Flores
- Florida Addiction and Recovery Center Inc
- Florida Anesthesia Consultants
- Florida Atlantic Anesthesia
- Florida Blue Adjustments Corp
- Florida Chiropractic, LLC
- Florida Clinical Management Institute LLC
- Florida Community Health Partners
- Florida Department of Health
- Florida Department of Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.