Bristol Orthotics & Prosthetics, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

BRISTOL ORTHOTICS & PROSTHETICS, INC

Practice address

921 Broad St
Kingsport, TN 37660-3801

Phone

(423) 968-4442

Fax

(423) 968-4777

NPI assigned

Jun 16, 2014

Organization subpart

No

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

Authorized official

Name

Joshua Will Graybeal, C.P.,L.P.O.

Title

Owner/President

Phone

(423) 968-4442

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1437563665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 HIGHWAY 126",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201685",
            "telephone_number": "423-968-4442",
            "fax_number": "423-968-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 BROAD ST",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603801",
            "telephone_number": "423-968-4442",
            "fax_number": "423-968-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL ORTHOTICS & PROSTHETICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "GRAYBEAL",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "WILL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "423-968-4442",
        "authorized_official_credential": "C.P.,L.P.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia J Brickey, FNP
• Kaley Daniel Briggs
• Jamie Bright, FNP
• Brighter Days
• Joshua Thomas Brintle, D.O.
• Jordan Broadwater, DDS
• Howard Thomas Brock, MD
• Anthony Lee Broglio, M.D.
• Brookhaven TN Opco LLC
• Chantel Ruth Brooks, DIPL. O.M. L.AC

• Prosthetic/Orthotic Supplier in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Prosthetic/Orthotic Supplier in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.