Braden D Teller, CP

Primary specialty

ProsthetistTaxonomy code 224P00000X

Practice address

1025 WH Smith Blvd Ste 108
Greenville, NC 27834-5278

Phone

(252) 215-2215

Fax

(252) 215-2216

NPI assigned

Nov 20, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Orthotics & Prosthetics East Inc

  • Customized Equipment (DME)
  • Greenville, NC
  • NPI 1790736379

  Prosthetist

  NPD (past)

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1528572005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 WH SMITH BLVD STE 108",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345278",
            "telephone_number": "252-215-2215",
            "fax_number": "252-215-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 WH SMITH BLVD STE 108",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345278",
            "telephone_number": "252-215-2215",
            "fax_number": "252-215-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLER",
        "first_name": "BRADEN",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "CP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-20",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Michael Taylor
• Teach One Reach One
• Joel Teah
• Brandon Lee Tedder, MD
• Shamesa N'Cole Teel
• Halina Teller
• Richard Wilson Temple, M.D.
• Carolyn Jia Ling Teng, MD
• Teresa a Smith MD PA (Med Center 1)
• Jadyn Terry

• Prosthetist in Greenville, NC
• Providers in Greenville, NC by specialty
• Prosthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.