Premier Bracing, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PREMIER BRACING, LLC

Practice address

120 Hunter Spring LN
Mooresville, NC 28117

Phone

(877) 878-8707

NPI assigned

Jan 14, 2016

Organization subpart

No

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

Authorized official

Name

Peter Miller, MD

Title

MD

Phone

(877) 878-8707

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1518323906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 HARTNESS ROAD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28117",
            "telephone_number": "877-878-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HUNTER SPRING LN",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28117",
            "telephone_number": "877-878-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER BRACING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "877-878-8707",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Powell, LCMHC
• Savannah Rae Powers, PT, DPT
• Judith Prairie, MD
• Marlee Tubby Prather, LCSWA
• Cilla Dora Prato
• Premier Med Supply
• Premise Health of North Carolina Medical PC
• Presbyterian Imaging Centers LLC
• Simone Presley
• Justin M Pretzel, DPT

• All providers in Mooresville, NC
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.