Mid-Atlantic Bracing, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CFO02178 Issued in VA

Legal business name

MID-ATLANTIC BRACING, INC.

Practice address

4445 Corporation LN
Virginia Beach, VA 23462-3262

Phone

(866) 852-8774

Fax

(888) 536-8989

NPI assigned

Feb 10, 2012

Organization subpart

No

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

Authorized official

Name

James Michael Ray

Title

Vice President

Phone

(866) 852-8774

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1447523261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 GLEN RD",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275297943",
            "telephone_number": "866-852-8774",
            "fax_number": "888-536-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 CORPORATION LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623262",
            "telephone_number": "866-852-8774",
            "fax_number": "888-536-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ATLANTIC BRACING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "866-852-8774"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "VA",
            "license": "CFO02178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele T Mikesell LCSW
• Courtney Elizabeth Michels
• Angelica Miciano, M.A, CF-SLP
• Mid Atlantic Healthcare Services PC
• Mid Atlantic Implant and Oral Surgery Center P.C.
• Mid-Atlantic Family Medicine PLC
• Mid-Atlantic Family Practice
• Mid-Atlantic Women'S Care, PLC
• Mid-Atlantic Womens Care PLC
• Mid-Atlantic Womens Care PLC

• All providers in Virginia Beach, VA
• Prosthetic/Orthotic Supplier in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.