Active NPI
The Brace Place Inc.
- Durable Medical Equipment & Medical Supplies
- Lubbock, TX
On this page
- Key facts
- Authorized official
- Subparts reporting this organization as parent1
- Corporate family (same tax ID)1
- Practitioners2
- Medicare participation
- Medicare enrollment records1
- National Provider Directory
- Specialties & licenses2
- Addresses
- Other identifiers4
- NPI Registry JSON
- Other providers in Lubbock, TX
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0011
- Legal business name
- THE BRACE PLACE INC.
- Practice address
- 3719 24TH St
Lubbock, TX 79410-2015 - Phone
- (806) 792-0395
- Fax
- (806) 792-0396
- NPI assigned
- Jun 14, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Timothy Ladd Spradling, CO
- Title
- Orthotist/President
- Phone
- (806) 792-0395
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Durable Medical Equipment & Medical Supplies
- Lubbock, TX
- NPI 1427205707
Corporate family (same tax ID) 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Lubbock, TX
- NPI 1427205707
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthotist
- Lubbock, TX
- NPI 1942561139
-
- Prosthetist
- Lubbock, TX
- NPI 1316208598
NPD (past) ORTHOTIST
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930035634 | TX | DME Supplier - Orthotic Personnel | 3870613615 | Practice locations: Lubbock, TX |
National Provider Directory
National Provider Directory- Tax ID family
- The Brace Place DME
Locations
3719 24th St
Lubbock, TX 79410
Phone (806) 792-0395
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0011 | TX | Primary |
| Prosthetic/Orthotic Supplier | 335E00000X | 0011 | TX |
Addresses
NPPES NPI RegistryPrimary practice location
3719 24TH St
Lubbock, TX 79410-2015
Mailing address
3719 24TH St
Lubbock, TX 79410-2015
Phone (806) 792-0395
Other identifiers 4
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010018201 | Medicaid | TX | |
| 106490100 | Other | TX | FIRSTCARE |
| 519091 | Other | TX | BLUE CROSS BLUE SHIELD |
| R3872 | Other | NM | NM MEDICAID (CONSULTEC) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 11, 2012.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336694400000",
"number": "1477596724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3719 24TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794102015",
"telephone_number": "806-792-0395",
"fax_number": "806-792-0396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3719 24TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794102015",
"telephone_number": "806-792-0395",
"fax_number": "806-792-0396"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE BRACE PLACE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-14",
"last_updated": "2012-05-11",
"status": "A",
"authorized_official_last_name": "SPRADLING",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "LADD",
"authorized_official_title_or_position": "ORTHOTIST/PRESIDENT",
"authorized_official_telephone_number": "806-792-0395",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CO"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "0011",
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "TX",
"license": "0011",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010018201",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCARE",
"identifier": "106490100",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "519091",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NM MEDICAID (CONSULTEC)",
"identifier": "R3872",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
- Cathy May Thackrey, AU.D., CCC-A
- Wendy R Thal, RN, MSN, CFNP
- Amy Jill Thane, PHARMD.
- The Adult Day Activity Center of Lubbock, Inc.
- The Brace Place (DME)
- The Centre for Reproductive Medicine, P.a.
- The Eye Center P a
- The Grace of the Divine Healing & Wellness Center
- The Kidney Care Center, LLC
- The Kidney Care Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; 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.