Organization Active NPI

Michigan Brace LLC

  • Durable Medical Equipment & Medical Supplies
  • Royal Oak, MI
National Provider Identifier
1720993363
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MICHIGAN BRACE LLC
Practice address
306 S Washington Ave Ste 219
Royal Oak, MI 48067-3833
Phone
(248) 891-7608
NPI assigned
Aug 18, 2026
Last updated
Aug 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Conner Fox PavoneNPI 1497674519
Title
Owner
Phone
(248) 891-7608

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

306 S Washington Ave Ste 219
Royal Oak, MI 48067-3833

Mailing address

306 S Washington Ave Ste 219
Royal Oak, MI 48067-3833
Phone (248) 891-7608

National Provider Directory

National Provider Directory

Locations

306 S Washington Ave
Ste 219
Royal Oak, MI 48067

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1787011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1720993363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 S WASHINGTON AVE STE 219",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673833",
            "telephone_number": "248-891-7608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 S WASHINGTON AVE STE 219",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673833",
            "telephone_number": "248-891-7608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN BRACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-18",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "PAVONE",
        "authorized_official_first_name": "CONNER",
        "authorized_official_middle_name": "FOX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-891-7608"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.