Prosthetic Design & Research LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PROSTHETIC DESIGN & RESEARCH LLC

Practice address

14201 Bruce B Downs Blvd Ste 4
Tampa, FL 33613-3906

Phone

(813) 971-1100

Fax

(813) 971-9300

NPI assigned

Mar 7, 2013

Organization subpart

No

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

Authorized official

Name

James Beard

Title

Credentialing Coordinator

Phone

(405) 900-4935

Specialties & licenses 1

Addresses

Other names 2

• Martin Bionics Clinical Care Tampa Doing business as
• Martin Bionics Clinical Care Tampa, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Martin Bionics Clinical Care, LLC

  • Prosthetic/Orthotic Supplier
  • Oklahoma City, OK
  • NPI 1396234589

  Member Of

  NPD member

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Martin Bionics Clinical Care Ft Myers LLC

  • Prosthetic/Orthotic Supplier
  • Fort Myers, FL
  • NPI 1407421258

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joaquin Campa III, MPO

  • Prosthetist
  • Tampa, FL
  • NPI 1275393639
  NPD

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1790026201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 BRUCE B DOWNS BLVD STE 4",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133906",
            "telephone_number": "813-971-1100",
            "fax_number": "813-971-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 BRUCE B DOWNS BLVD STE 4",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133906",
            "telephone_number": "813-971-1100",
            "fax_number": "813-971-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC DESIGN & RESEARCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "405-900-4935"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin Bionics Clinical Care Tampa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Martin Bionics Clinical Care Tampa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Martin Bionics Clinical Care Tampa, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prospero Health Partners Florida, Inc
• Prospero Medical Services, PA
• Prospero Services, LLC
• Pross Kanter & Tindell
• Ronald M Pross, D.M.D.
• Prosthetic Research and Design PL
• Prosthodontics & Implant Therapy Inc
• Dylan Thomas Prough, DPT
• Holly Lynn Provance, RPH
• Proven Services, Inc

• Prosthetic/Orthotic Supplier in Tampa, FL
• Providers in Tampa, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.