Breast Prostheses & Orthotics Inc

Primary specialty

Orthotic FitterTaxonomy code 225000000X

Legal business name

BREAST PROSTHESES & ORTHOTICS INC

Practice address

1850 Edgemont Ave
Bristol, TN 37620-4309

Phone

(423) 573-8500

Fax

(423) 573-8501

NPI assigned

Jul 7, 2006

Last updated

Jul 21, 2022By 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

Janice McCrackenNPI 1265142160

Title

Owner

Phone

(423) 573-8500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Janice McCracken

  • Specialist
  • Bristol, TN
  • NPI 1265142160
  NPD Authorized official
• Cecil Eugene Collins Jr., D.C.

  • Chiropractor
  • Bristol, TN
  • NPI 1457475436
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1598797045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 EDGEMONT AVE",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376204309",
            "telephone_number": "423-573-8500",
            "fax_number": "423-573-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 EDGEMONT AVE",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376204309",
            "telephone_number": "423-573-8500",
            "fax_number": "423-573-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST PROSTHESES & ORTHOTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2022-07-21",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "MCCRACKEN",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-573-8500"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthotic Fitter",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Elaine Bradley, FNP
• Michael Barton Bradley, M.D.
• Brandon M. Cole, LPC, MHSP, PLLC
• Jim Carroll Brasfield, M.D.
• Samuel Lucas Brashears, MD
• David Albert Brenner, MD
• Jonathan Thomas Brewster, PHARMD
• Bridges W. Smith, P.C.
• Robert Randolph Brinson, M.D.
• Bristol Ambulatory Surgery Center, LLC

• Orthotic Fitter in Bristol, TN
• Providers in Bristol, TN by specialty
• Orthotic Fitter in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.