Brace Shop & Prosthetic Services Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

BRACE SHOP & PROSTHETIC SERVICES INC

Doing business as

The Brace Shop

Practice address

62 Doughty Rd
Lawrenceburg, IN 47025-2950

Phone

(513) 421-5653

NPI assigned

Nov 20, 2006

Last updated

Mar 18, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

HANGER ORTHOPEDIC GROUPAs reported in NPPES

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

Authorized official

Name

Sheryl Price

Title

Dir of Reimbursement

Phone

(503) 493-8288

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• The Brace Shop Doing business as

Locations

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1396819280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WELLINGTON PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452191758",
            "telephone_number": "513-421-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 DOUGHTY RD",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470252950",
            "telephone_number": "513-421-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRACE SHOP & PROSTHETIC SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANGER ORTHOPEDIC GROUP",
        "enumeration_date": "2006-11-20",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "DIR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "503-493-8288"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0909502",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001360A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6305002000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90254137",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Brace Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holly Louise Bonomini, FNP-BC
• Joseph B Bonomini, PA-C
• John A Botsford, MD
• Bashar Bouso, M.D.
• Angela Mason Boyd, OTR/L
• Ellen Colleen Bradley, DO
• Russell E. Bradley III
• Michael Andrew Bradshaw, OPTICIAN
• Brian C Oyler Family Dentistry PC
• Bright Dental LLC

• Prosthetic/Orthotic Supplier in Lawrenceburg, IN
• Providers in Lawrenceburg, IN by specialty
• Prosthetic/Orthotic Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.