East Ridge Bracing, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EAST RIDGE BRACING, INC.

Practice address

6802 Ringgold Rd Ste 104
Chattanooga, TN 37412-4256

Phone

(423) 771-7955

Fax

(423) 771-7956

NPI assigned

Jan 8, 2018

Organization subpart

No

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

Authorized official

Name

Jasmine Fuller

Title

VP of Operations

Phone

(423) 771-7955

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1720595028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6802 RINGGOLD RD STE 104",
            "city": "EAST RIDGE",
            "state": "TN",
            "postal_code": "374124256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6802 RINGGOLD RD STE 104",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374124256",
            "telephone_number": "423-771-7955",
            "fax_number": "423-771-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST RIDGE BRACING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-09-26",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "423-771-7955"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.