NPIMap

Organization Active NPI

Custom Artificial Limb and Brace, Inc.

  • Prosthetic/Orthotic Supplier
  • Pleasant Hills, PA
National Provider Identifier
1508586694
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
CUSTOM ARTIFICIAL LIMB AND BRACE, INC.
Practice address
491 E Bruceton Rd
Pleasant Hills, PA 15236-5525
Phone
(724) 654-3991
NPI assigned
Aug 30, 2022
Last updated
Aug 30, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
CUSTOM ARTIFICIAL LIMB AND BRACE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Authorized official

Name
Bobby ColesNPI 1366787822
Title
Owner/Provider
Phone
(724) 654-3991

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 1

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

Addresses

Primary practice location

491 E Bruceton Rd
Pleasant Hills, PA 15236-5525

Mailing address

491 E Bruceton Rd
Pleasant Hills, PA 15236-5525
Phone (724) 654-3991

National Provider Directory

National Provider Directory
Tax ID family
Custom Artificial Limb2 organizations share this tax ID, including this one
Part of
Custom Artificial Limb

Other organizations with this tax ID 1

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

Locations

491 E Bruceton Rd
Pleasant Hills, PA 15236
Phone (724) 654-3991

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1508586694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 E BRUCETON RD",
            "city": "PLEASANT HILLS",
            "state": "PA",
            "postal_code": "152365525",
            "telephone_number": "724-654-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 E BRUCETON RD",
            "city": "PLEASANT HILLS",
            "state": "PA",
            "postal_code": "152365525",
            "telephone_number": "724-654-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM ARTIFICIAL LIMB AND BRACE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CUSTOM ARTIFICIAL LIMB AND BRACE, INC.",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "COLES",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "724-654-3991"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.