Organization Active NPI

Midwest Brace and Limb Inc

  • Customized Equipment (DME)
  • Lafayette, IN
National Provider Identifier
1427055201
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
C15097 Issued in IN
Legal business name
MIDWEST BRACE AND LIMB INC
Practice address
3802 Amelia Ave
Suite B
Lafayette, IN 47905-5772
Phone
(765) 447-6323
Fax
(765) 446-1575
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Authorized official

Name
Mr. Douglas Wayne Mullin
Title
Owner/President
Phone
(765) 447-6323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X C15097 IN Primary

Addresses

Primary practice location

3802 Amelia Ave
Suite B
Lafayette, IN 47905-5772

Mailing address

3802 Amelia Ave
Suite B
Lafayette, IN 47905-5772
Phone (765) 447-6323

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1427055201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 AMELIA AVE",
            "address_2": "SUITE B",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055772",
            "telephone_number": "765-447-6323",
            "fax_number": "765-446-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 AMELIA AVE",
            "address_2": "SUITE B",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055772",
            "telephone_number": "765-447-6323",
            "fax_number": "765-446-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST BRACE AND LIMB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "MULLIN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "765-447-6323",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IN",
            "license": "C15097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

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