Active NPI
Brunswick Orthotics & Prosthetics, Inc.
- Prosthetic/Orthotic Supplier
- Brunswick, GA
National Provider Identifier
1669403291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- BRUNSWICK ORTHOTICS & PROSTHETICS, INC.
- Practice address
- 3501 Altama Ave
Brunswick, GA 31520-3629 - Phone
- (912) 261-8117
- Fax
- (912) 261-8301
- NPI assigned
- Jul 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aaron J Sorensen, CPO, LPO, MBA
- Title
- Ceo
- Phone
- (615) 542-0897
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | GA | Primary |
Addresses
Primary practice location
3501 Altama Ave
Brunswick, GA 31520-3629
Mailing address
1024 N Highland Ave
Murfreesboro, TN 37130-2443
Phone (912) 261-8117
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00742871A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120229000337 | GA | DME Supplier - Certified Orth/Pros/Pedorthist | 4284755059 | Practice locations: Brunswick, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Brunswick Orthotics & Prosthetics I | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
3501 Altama Ave
Brunswick, GA 31520
Phone (912) 261-8117
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Prosthetist
- Brunswick, GA
- NPI 1518964220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774396800000",
"number": "1669403291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1024 N HIGHLAND AVE",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371302443",
"telephone_number": "912-261-8117",
"fax_number": "912-261-8301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 ALTAMA AVE",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315203629",
"telephone_number": "912-261-8117",
"fax_number": "912-261-8301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRUNSWICK ORTHOTICS & PROSTHETICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-05",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A",
"authorized_official_last_name": "SORENSEN",
"authorized_official_first_name": "AARON",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "615-542-0897",
"authorized_official_credential": "CPO, LPO, MBA"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00742871A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.