Organization Active NPI

Brandy's Shoes Inc.

  • Prosthetic/Orthotic Supplier
  • Pompano BCH, FL
National Provider Identifier
1407184450
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
BRANDY'S SHOES INC.
Practice address
1290 North Fed Hwy
Pompano BCH, FL 33062-3705
Phone
(954) 943-9667
Fax
(954) 941-9204
NPI assigned
Dec 3, 2009
Last updated
Aug 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Authorized official

Name
Scott Philip BransdorfNPI 1881928331
Title
VP
Phone
(954) 943-9667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1290 North Fed Hwy
Pompano BCH, FL 33062-3705

Mailing address

1290 N Federal Hwy
Pompano Beach, FL 33062-3705
Phone (954) 943-9667

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1407184450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 N FEDERAL HWY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330623705",
            "telephone_number": "954-943-9667",
            "fax_number": "954-941-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 NORTH FED HWY",
            "city": "POMPANO BCH",
            "state": "FL",
            "postal_code": "330623705",
            "telephone_number": "954-943-9667",
            "fax_number": "954-941-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDY'S SHOES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-03",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "BRANSDORF",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "954-943-9667"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano BCH, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.