Organization Active NPI

Advanced Bracing Plus LLC

  • Durable Medical Equipment & Medical Supplies
  • Waukesha, WI
National Provider Identifier
1629474267
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ADVANCED BRACING PLUS LLC
Practice address
1801 Airport Rd
Suite C
Waukesha, WI 53188-2477
Phone
(414) 501-2355
Fax
(414) 433-1900
NPI assigned
Nov 10, 2014
Last updated
Nov 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Authorized official

Name
Michael A Buckholdt
Title
President
Phone
(800) 845-6364

Specialties & licenses 1

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

Addresses

Primary practice location

1801 Airport Rd
Suite C
Waukesha, WI 53188-2477

Mailing address

1801 Airport Rd
Suite C
Waukesha, WI 53188-2477

National Provider Directory

National Provider Directory

Locations

1801 Airport Rd
Ste C
Waukesha, WI 53188
Phone (414) 501-2355

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1629474267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 AIRPORT RD",
            "address_2": "SUITE C",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531882477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 AIRPORT RD",
            "address_2": "SUITE C",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531882477",
            "telephone_number": "414-501-2355",
            "fax_number": "414-433-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED BRACING PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "BUCKHOLDT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-845-6364"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.