Pro Tec Orthotics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

LO 10 Issued in OK

Legal business name

PRO TEC ORTHOTICS

Practice address

3625 W Main St
Suite 108
Norman, OK 73072-4656

Phone

(405) 570-4790

Fax

(405) 570-4790

NPI assigned

May 7, 2014

Organization subpart

No

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

Authorized official

Name

Mr. John Reed Brigance, C.O.,L.O.

Title

Orthotist

Phone

(405) 570-4790

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1750791190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 W MAIN ST",
            "address_2": "SUITE 108",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724656",
            "telephone_number": "405-570-4790",
            "fax_number": "405-570-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 W MAIN ST",
            "address_2": "SUITE 108",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724656",
            "telephone_number": "405-570-4790",
            "fax_number": "405-570-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO TEC ORTHOTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "BRIGANCE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "REED",
        "authorized_official_title_or_position": "ORTHOTIST",
        "authorized_official_telephone_number": "405-570-4790",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.O.,L.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OK",
            "license": "LO 10",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.