Unified Prosthetics and Orthotics, LLC.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

UNIFIED PROSTHETICS AND ORTHOTICS, LLC.

Practice address

506 Grants Ferry Rd Ste 102
Brandon, MS 39047-9076

Phone

(769) 257-6197

Fax

(769) 216-2524

NPI assigned

May 1, 2020

Last updated

Jan 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shykedra Deniece Brown

Title

Office Manager

Phone

(769) 257-6197

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These 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

Locations

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.

• Nehemiah Levi Brown

  • Prosthetic/Orthotic Supplier
  • Brandon, MS
  • NPI 1114546462
  NPD

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1740801695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 GRANTS FERRY RD STE 102",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390479076",
            "telephone_number": "769-257-6197",
            "fax_number": "769-216-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 GRANTS FERRY RD STE 102",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390479076",
            "telephone_number": "769-257-6197",
            "fax_number": "769-216-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIFIED PROSTHETICS AND ORTHOTICS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-01",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SHYKEDRA",
        "authorized_official_middle_name": "DENIECE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "769-257-6197"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Brandon, MS
• Providers in Brandon, MS by specialty
• Prosthetic/Orthotic Supplier in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.

Verify at the official NPI Registry.