New Life Brace and Limb, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

101294 Issued in TX

Legal business name

NEW LIFE BRACE AND LIMB, LLC

Practice address

1666 W Baker Rd # B
Baytown, TX 77521-2271

Phone

(281) 427-8637

Fax

(281) 427-8639

NPI assigned

May 19, 2009

Last updated

Apr 14, 2015By 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

Mr. Russell Boone

Title

Owner

Phone

(281) 316-5805

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• New Life Brace and Limb, LLC

  • Prosthetic/Orthotic Supplier
  • Victoria, TX
  • NPI 1437974276

  1456553023

  Same PAC ID
• New Life Brace and Limb, LLC

  • Prosthetic/Orthotic Supplier
  • Webster, TX
  • NPI 1497895817

  1456553023

  Same PAC ID
• New Life Brace and Limb, LLC

  • Orthotist
  • San Antonio, TX
  • NPI 1588226211

  1456553023

  Same PAC ID
• New Life Brace and Limb, LLC

  • Prosthetic/Orthotic Supplier
  • Conroe, TX
  • NPI 1710393475

  1456553023

  Same PAC ID
• New Life Brace and Limb, LLC

  • Prosthetic/Orthotic Supplier
  • Houston, TX
  • NPI 1922839935

  1456553023

  Same PAC ID
• New Life Brace and Limb, LLC

  • Prosthetic/Orthotic Supplier
  • Houston, TX
  • NPI 1992934764

  1456553023

  Same PAC ID

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

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1770718827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1666 W BAKER RD # B",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212271",
            "telephone_number": "281-427-8637",
            "fax_number": "281-427-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 W BAKER RD # B",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212271",
            "telephone_number": "281-427-8637",
            "fax_number": "281-427-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE BRACE AND LIMB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-316-5805",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "101294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Baytown, TX
• Providers in Baytown, TX by specialty
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.