Organization Active NPI

Blue Sky Orthotic and Prosthetics

  • Prosthetic/Orthotic Supplier
  • Bryan, TX
National Provider Identifier
1457728560
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
101528 Issued in TX
Legal business name
BLUE SKY ORTHOTIC AND PROSTHETICS
Practice address
2611 E 29TH St
Bryan, TX 77802-2502
Phone
(970) 231-1313
NPI assigned
Aug 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Authorized official

Name
Aaron Erwin Foreman
Title
President
Phone
(970) 231-1313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 101528 TX Primary

Addresses

Primary practice location

2611 E 29TH St
Bryan, TX 77802-2502

Mailing address

4704 Monte Carmelo PL
Austin, TX 78738-6029
Phone (970) 231-1313

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1457728560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 MONTE CARMELO PL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787386029",
            "telephone_number": "970-231-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 E 29TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022502",
            "telephone_number": "970-231-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY ORTHOTIC AND PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "FOREMAN",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "ERWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-231-1313"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "101528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.