Organization Active NPI

Advanced Bracing and Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Kearney, NE
National Provider Identifier
1528048766
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ADVANCED BRACING AND MEDICAL SUPPLIES
Practice address
3000 2ND Ave
Suite 101
Kearney, NE 68847
Phone
(308) 865-6060
NPI assigned
Jan 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Authorized official

Name
Timm Wilson
Title
President
Phone
(308) 865-6060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3000 2ND Ave
Suite 101
Kearney, NE 68847

Mailing address

2810 W 35TH St Ste 3
Kearney, NE 68845-2909
Phone (308) 865-6060

Other identifiers 1

IdentifierTypeStateIssuer
10025191300MedicaidNE

National Provider Directory

National Provider Directory

Locations

3000 2nd Ave
Ste 101
Kearney, NE 68847
Phone (308) 224-2072

2810 W 35th St
Ste 3
Kearney, NE 68845

NPI Registry JSON

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

{
    "created_epoch": "1137801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529020800000",
    "number": "1528048766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 W 35TH ST STE 3",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452909",
            "telephone_number": "308-865-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 2ND AVE",
            "address_2": "SUITE 101",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "68847",
            "telephone_number": "308-865-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED BRACING AND MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-21",
        "last_updated": "2018-06-15",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "TIMM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "308-865-6060"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025191300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.