Bradley Wayne Anthony, BOCPO
Individual provider Active NPI Orthotist · Westbury, NY
NPI 1699246728 · NPPES record last updated Dec 16, 2018
Key facts
- NPI
- 1699246728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthotist 222Z00000X
- Practice address
- 813 Carman Ave Unit a
Westbury, NY 11590-6447 - Phone
- (516) 333-7200
- Fax
- (516) 333-7277
- NPI assigned
- Dec 16, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Orthopedic and Rehabilitation Supply Company, Inc | Past | Accepting new patients | |
| Bay Orthopedic and Rehabilitation Supply Co Inc | Orthotist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | |||
| Orthotist | 222Z00000X | Yes |
Addresses
Primary practice location
813 Carman Ave Unit a
Westbury, NY 11590-6447
Mailing address
19 Hope LN
Hicksville, NY 11801-6110
Phone (903) 880-4927
Other providers in Westbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.