Amelia Newell Brakefield

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Practice address

11 E Park Ave
Greenville, SC 29601-1629

Phone

(864) 233-2270

Fax

(864) 235-4327

NPI assigned

Aug 28, 2024

Sex

Female

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• GB Ocular Prosthetics, LLC

  • Customized Equipment (DME)
  • Greenville, SC
  • NPI 1700602760

  Ocularist

  NPD Authorized official
• Gorrin'S Clinic, Inc.

  • Customized Equipment (DME)
  • Greenville, SC
  • NPI 1285635839
  NPD (past)

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1366276701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 E PARK AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296011629",
            "telephone_number": "864-233-2270",
            "fax_number": "864-235-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E PARK AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296011629",
            "telephone_number": "864-233-2270",
            "fax_number": "864-235-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAKEFIELD",
        "first_name": "AMELIA",
        "middle_name": "NEWELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ocularist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brain Body Health Alliance LLC
• Marie Elizabeth Brainard, OTR/L
• Brake Chiropractic PA
• Barbara Lynn Brake, D.C.
• Daniel Walter Brake Jr., M.D.
• Gabrielle Bramblett, NP
• Pamela Bramlett, RPH
• Sarah Kathleen Hernstrom Bramon, AGNP
• Kemper Marion Brand II, PA
• Alexandra Zoe Brandenburg, PA-C

• Customized Equipment (DME) in Greenville, SC
• Providers in Greenville, SC by specialty
• Customized Equipment (DME) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.