Brace Your Self MD LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BRACE YOUR SELF MD LLC

Practice address

2821 E Commercial Blvd Ste 205
Fort Lauderdale, FL 33308-4216

Phone

(954) 904-4780

Fax

(954) 990-7056

NPI assigned

Jan 6, 2021

Last updated

Jan 11, 2021By 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

Chris CruzNPI 1518566520

Title

Manager/Sole MBR

Phone

(954) 904-4780

Specialties & licenses 1

Addresses

Other names 1

• C/O Chris Cruz, Sole Member Other name

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.

• Chris Cruz

  • Durable Medical Equipment & Medical Supplies
  • Fort Lauderdale, FL
  • NPI 1518566520
  NPD Authorized official

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1407444318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 E COMMERCIAL BLVD STE 205",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084216",
            "telephone_number": "954-904-4780",
            "fax_number": "954-990-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 E COMMERCIAL BLVD STE 205",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084216",
            "telephone_number": "954-904-4780",
            "fax_number": "954-990-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRACE YOUR SELF MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "MANAGER/SOLE MBR",
        "authorized_official_telephone_number": "954-904-4780"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C/O Chris Cruz, Sole Member",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Irma S Boyer
• Luba Bozanich
• Idris Bozeman
• BPS Medical LLC
• Brent J Bracco, DDS
• Brad W. Graff D.M.D. PA
• Maria Braden, PHARMD
• Bradley Todd
• Alexa Jane Bradley, M.S.
• Evelyn Bradley

• Durable Medical Equipment & Medical Supplies in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.