Active Orthopedic Bracing, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

6890 Issued in AL

Legal business name

ACTIVE ORTHOPEDIC BRACING, INC.

Practice address

2745 Bob Wallace Ave SW
Ste D
Huntsville, AL 35805-4158

Phone

(256) 534-8637

Fax

(256) 704-0024

NPI assigned

Oct 28, 2008

Organization subpart

No

Name

James Thomas Buchholz, C.O.

Title

Orthotist/Owner

Phone

(256) 534-8637

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 8, 2013.

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1548413073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 BOB WALLACE AVE SW",
            "address_2": "STE D",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358054158",
            "telephone_number": "256-534-8637",
            "fax_number": "256-704-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 BOB WALLACE AVE SW",
            "address_2": "STE D",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358054158",
            "telephone_number": "256-534-8637",
            "fax_number": "256-704-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE ORTHOPEDIC BRACING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "BUCHHOLZ",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "ORTHOTIST/OWNER",
        "authorized_official_telephone_number": "256-534-8637",
        "authorized_official_credential": "C.O."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "AL",
            "license": "6890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548413073",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Huntsville, AL
• Customized Equipment (DME) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.