Charleston Brace Company, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

CHARLESTON BRACE COMPANY, LLC

Practice address

2061 Highway 52
Moncks Corner, SC 29461-5017

Phone

(843) 871-0600

Fax

(843) 871-6510

NPI assigned

Sep 29, 2010

Organization subpart

No

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

Authorized official

Name

Nathaniel Jackson

Title

Owner

Phone

(843) 871-0600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1407165178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3489 LADSON RD STE C",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564330",
            "telephone_number": "843-871-0600",
            "fax_number": "843-871-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 HIGHWAY 52",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294615017",
            "telephone_number": "843-871-0600",
            "fax_number": "843-871-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON BRACE COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-871-0600"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary W Carruthers, MD
• Parvati Case
• Leah Brianne Cassella, R.D., L.D.N.
• Rebecca J Cavazos Morrow, M.S.
• Charleston Bone & Joint PA
• Charleston Cancer Center, PA
• Charlestone Bone & Joint PA
• Samantha Chubb, PHARMD
• Caitlin C Clardy
• Helen Yolanda Clark, PH.D.

• Prosthetic/Orthotic Supplier in Moncks Corner, SC
• Providers in Moncks Corner, SC by specialty
• Prosthetic/Orthotic Supplier in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.