Med Brace Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MED BRACE INC

Practice address

4701 N Federal Hwy Ste 301
Pompano Beach, FL 33064-6593

Phone

(954) 543-1812

NPI assigned

Oct 22, 2021

Last updated

Apr 4, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Reynold Nunez

Title

Owner

Phone

(954) 543-1812

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1548924863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 N FEDERAL HWY STE 301",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 N FEDERAL HWY STE 301",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646593",
            "telephone_number": "954-543-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED BRACE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "REYNOLD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-543-1812"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "123456",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Medbrace",
            "affiliation": "N",
            "address_1": "1720 Tamiami Trl Ste 109",
            "city": "Port Charlotte",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339481119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.