Organization Active NPI

Children'S Brace, Inc.

  • Prosthetic/Orthotic Supplier
  • Hershey, PA
National Provider Identifier
1528024999
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
6000005984 Issued in PA
Legal business name
CHILDREN'S BRACE, INC.
Practice address
475 W Governor Rd
Hershey, PA 17033-2217
Phone
(717) 790-0600
Fax
(717) 790-0617
NPI assigned
Apr 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bernard J Furr, C.O.
Title
Orthotist
Phone
(717) 790-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 6000005984 PA Primary

Addresses

Primary practice location

475 W Governor Rd
Hershey, PA 17033-2217

Mailing address

710 S York St
Mechanicsburg, PA 17055-4745
Phone (717) 790-0600

Other identifiers 1

IdentifierTypeStateIssuer
0019006770001MedicaidPA

National Provider Directory

National Provider Directory

Locations

475 W Governor Rd
Ste 8
Hershey, PA 17033
Phone (717) 790-0600

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528024999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S YORK ST",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554745",
            "telephone_number": "717-790-0600",
            "fax_number": "717-790-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 W GOVERNOR RD",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332217",
            "telephone_number": "717-790-0600",
            "fax_number": "717-790-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S BRACE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FURR",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ORTHOTIST",
        "authorized_official_telephone_number": "717-790-0600",
        "authorized_official_credential": "C.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "PA",
            "license": "6000005984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019006770001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.