Palmetto Biotech Prosthetics & Orthotics LLC

Primary specialty

ProsthetistTaxonomy code 224P00000X

Legal business name

PALMETTO BIOTECH PROSTHETICS & ORTHOTICS LLC

Practice address

2419 Devine St
Columbia, SC 29205-2405

Phone

(803) 814-2778

Fax

(803) 851-4019

NPI assigned

Jun 26, 2017

Last updated

Feb 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Andrew Walker Murrell, BOCP, BOCONPI 1821595166

Title

Owner

Phone

(843) 295-7338

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew Walker Murrell, BOCP, BOCO

  • Prosthetist
  • Columbia, SC
  • NPI 1821595166

  Orthotist

  NPD Authorized official

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1386164861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 DEVINE ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292052405",
            "telephone_number": "803-814-2778",
            "fax_number": "803-851-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 DEVINE ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292052405",
            "telephone_number": "803-814-2778",
            "fax_number": "803-851-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO BIOTECH PROSTHETICS & ORTHOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-26",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "MURRELL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "WALKER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-295-7338",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BOCP, BOCO"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetist in Columbia, SC
• Providers in Columbia, SC by specialty
• Prosthetist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.