Organization Active NPI

The Brace Place Inc.

  • Durable Medical Equipment & Medical Supplies
  • Lubbock, TX
National Provider Identifier
1477596724
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0011 Issued in TX
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
Last updated
May 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2012

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

Authorized official

Name
Mr. Timothy Ladd Spradling, CONPI 1942561139
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.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0011 TX Primary
Prosthetic/Orthotic Supplier 335E00000X 0011 TX

Addresses

Primary practice location

3719 24TH St
Lubbock, TX 79410-2015

Mailing address

3719 24TH St
Lubbock, TX 79410-2015
Phone (806) 792-0395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930035634 TX DME Supplier - Orthotic PersonnelDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Medical Supply CompanyDME Supplier - Prosthetic Personnel 3870613615 Practice locations: Lubbock, TX

National Provider Directory

National Provider Directory
Tax ID family
The Brace Place DME2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

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.

Verify at the official NPI Registry.