Brodie Rice

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

CPO04185 Issued in WY

Practice address

2007 S Douglas Hwy Ste 130
Gillette, WY 82718-5400

Phone

(307) 696-8016

Fax

(307) 206-8104

NPI assigned

Oct 29, 2019

Last updated

Mar 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pivot Prosthetics and Orthotics, LLC

  • Prosthetist
  • Gillette, WY
  • NPI 1891300604

  Orthotist

  NPD Authorized official
• Pivot Prosthetics and Orthotics, LLC

  dba Pivot Prosthetics

  • Prosthetist
  • Rapid City, SD
  • NPI 1225873094

  Orthotist

  NPD Authorized official

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1417591843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 S DOUGLAS HWY STE 130",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185400",
            "telephone_number": "307-696-8016",
            "fax_number": "307-206-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 S DOUGLAS HWY STE 130",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185400",
            "telephone_number": "307-696-8016",
            "fax_number": "307-206-8104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2220 5th St",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577015428",
            "country_code": "US",
            "telephone_number": "307-686-8016",
            "fax_number": "307-206-8104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICE",
        "first_name": "BRODIE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-29",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "WY",
            "license": "CPO04185",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "WY",
            "license": "CPO04185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Bernard Repas, DO
• Revive Therapy
• Alisha Reynolds, OT
• Rheumatology & Osteoporosis Center of Wyoming LLC
• Melissa Elaine Rhoades, FNP-C
• Denise Richards, PA
• Alyssa Riley, RBT
• C Lynne Riley, MA
• Krystal Ring
• Jacob Hunt Rinker, M.D.

• Prosthetist in Gillette, WY
• Providers in Gillette, WY by specialty
• Prosthetist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.