Active NPI
Brownfields Inc
- Prosthetic/Orthotic Supplier
- Nampa, ID
National Provider Identifier
1437384344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- BROWNFIELDS INC
- Practice address
- 847-1 Parkcentre Way
Nampa, ID 83651-1792 - Phone
- (208) 342-4659
- Fax
- (208) 342-8211
- NPI assigned
- May 20, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tom Padilla, CPO
- Title
- Co-Owner
- Phone
- (208) 342-4659
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
847-1 Parkcentre Way
Nampa, ID 83651-1792
Mailing address
1912 E Franklin Rd
Meridian, ID 83642-5906
Phone (208) 342-4659
Other names 1
- Brownfields Prosthetic & Orthotics Technologies, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930074316 | ID | DME Supplier - Orthotic Personnel | 8527185925 | Practice locations: Nampa, ID |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Brownfield's Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Meridian, ID
- NPI 1265756886
Locations
1912 E Franklin Rd
Meridian, ID 83642
Phone (208) 342-4659
847 Parkcentre Way
Nampa, ID 83651
Phone (208) 229-6050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242777600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548201600000",
"number": "1437384344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1912 E FRANKLIN RD",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836425906",
"telephone_number": "208-342-4659",
"fax_number": "208-342-8211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "847-1 PARKCENTRE WAY",
"city": "NAMPA",
"state": "ID",
"postal_code": "836511792",
"telephone_number": "208-342-4659",
"fax_number": "208-342-8211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROWNFIELDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-20",
"last_updated": "2019-01-23",
"status": "A",
"authorized_official_last_name": "PADILLA",
"authorized_official_first_name": "TOM",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "208-342-4659",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPO"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brownfields Prosthetic & Orthotics Technologies, Inc.",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Brownfields Prosthetic & Orthotics Technologies, Inc.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.