J Medical Bracing LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

J MEDICAL BRACING LLC

Practice address

450 E 96TH St
Suite 500
Indianapolis, IN 46240-5703

Phone

(317) 863-0922

Fax

(317) 405-9697

NPI assigned

Apr 15, 2012

Last updated

Jul 24, 2012By 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

Jenise Lynn Jones

Title

Ceo/Manager

Phone

(317) 679-4507

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1334448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1750648770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E 96TH ST",
            "address_2": "SUITE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462405703",
            "telephone_number": "317-863-0922",
            "fax_number": "317-405-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E 96TH ST",
            "address_2": "SUITE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462405703",
            "telephone_number": "317-863-0922",
            "fax_number": "317-405-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J MEDICAL BRACING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-15",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JENISE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO/MANAGER",
        "authorized_official_telephone_number": "317-679-4507"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.