Active NPI
Children'S Brace, Inc.
- Prosthetic/Orthotic Supplier
- Hershey, PA
National Provider Identifier
1528024999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 6000005984
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019006770001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
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.