Northern Brace Company Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

NORTHERN BRACE COMPANY INC

Practice address

53880 Carmichael Dr
Ste. 220
South Bend, IN 46635-1567

Phone

(574) 277-5548

NPI assigned

May 1, 2006

Organization subpart

No

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

Authorized official

Name

Kelly L West

Title

Vice President

Phone

(574) 277-5548

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Northern Brace Northern Prosthetics Doing business as

Member of 1

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

• Binson'S Hospital Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Livonia, MI
  • NPI 1427325653

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354838400000",
    "number": "1790743821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N MICHIGAN ST",
            "address_2": "STE. 104",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011077",
            "telephone_number": "574-277-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53880 CARMICHAEL DR",
            "address_2": "STE. 220",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351567",
            "telephone_number": "574-277-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN BRACE COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2012-12-07",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "574-277-5548"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100153030B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Brace Northern Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sean P Norris, HAD
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• Northern Indiana Health Center
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• Northern Indiana Magnetic Resonance Center, LLP
• Northern Indiana Maternal and Child Health Network, Inc

• Prosthetic/Orthotic Supplier in South Bend, IN
• Providers in South Bend, IN by specialty
• Prosthetic/Orthotic Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; 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.