Active NPI
Willam Eatl Bray Jr., C.P.O.
- Prosthetic/Orthotic Supplier
- Somerset, KY
National Provider Identifier
1437463262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Practice address
- 310 Langdon St Ste 2
Somerset, KY 42503-2795 - Phone
- (606) 451-0668
- NPI assigned
- Aug 4, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
310 Langdon St Ste 2
Somerset, KY 42503-2795
Mailing address
PO Box 1323
Somerset, KY 42502-1323
Phone (606) 451-0668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Xtreme Prosthetics, LLC. | Prosthetic/Orthotic Supplier | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Prosthetic/Orthotic Supplier
- Louisville, KY
- NPI 1063179497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280880000000",
"number": "1437463262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1323",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425021323",
"telephone_number": "606-451-0668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 LANGDON ST STE 2",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425032795",
"telephone_number": "606-451-0668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAY",
"first_name": "WILLAM",
"middle_name": "EATL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "C.P.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-04",
"last_updated": "2010-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.