Charleston Brace Company, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

010756087 Issued in SC

Legal business name

CHARLESTON BRACE COMPANY, LLC

Practice address

2270 Ashley Crossing Dr Ste 140
Charleston, SC 29414-5749

Phone

(843) 871-0600

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Nathaniel Jackson, CO, CPED

Title

Owner

Phone

(843) 571-4646

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1659591550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 ASHLEY CROSSING DR",
            "address_2": "SUITE 140",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145732",
            "telephone_number": "843-571-4646",
            "fax_number": "843-571-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 ASHLEY CROSSING DR STE 140",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145749",
            "telephone_number": "843-871-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON BRACE COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-571-4646",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CO, CPED"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "SC",
            "license": "010756087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Charleston, SC
• Providers in Charleston, SC by specialty
• Prosthetic/Orthotic Supplier in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.