Organization Active NPI

New England Brace Company, Inc.

  • Prosthetic/Orthotic Supplier
  • Somersworth, NH
National Provider Identifier
1508862665
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
NEW ENGLAND BRACE COMPANY, INC.
Practice address
224 Route 108
Unit a
Somersworth, NH 03878-6513
Phone
(603) 692-9250
Fax
(603) 692-9251
NPI assigned
Jun 23, 2005
Last updated
Aug 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Authorized official

Name
Mr. Paul W. Guimond, C.O.
Title
President
Phone
(603) 668-8360

Specialties & licenses 1

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

Addresses

Primary practice location

224 Route 108
Unit a
Somersworth, NH 03878-6513

Mailing address

224 Route 108
Unit a
Somersworth, NH 03878
Phone (603) 692-9250

Other identifiers 6

IdentifierTypeStateIssuer
30762502MedicaidNH
138580005MedicaidME
57404OtherNHCIGNA
1002782MedicaidVT
12Y004914NH01OtherNHBCBS
700383OtherNHHARVARD PILGRIM

National Provider Directory

National Provider Directory

Locations

224 Route 108
Ste A
Somersworth, NH 03878
Phone (603) 343-2063

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1508862665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 ROUTE 108",
            "address_2": "UNIT A",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "03878",
            "telephone_number": "603-692-9250",
            "fax_number": "603-692-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 ROUTE 108",
            "address_2": "UNIT A",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038786513",
            "telephone_number": "603-692-9250",
            "fax_number": "603-692-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND BRACE COMPANY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "GUIMOND",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-668-8360",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30762502",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138580005",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "57404",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002782",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "12Y004914NH01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "700383",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somersworth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.