Organization Active NPI

Midwest Brace & Limb Inc

  • Customized Equipment (DME)
  • Lafayette, IN
National Provider Identifier
1801078274
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
MIDWEST BRACE & LIMB INC
Practice address
3802 Amelia Ave
Suite B
Lafayette, IN 47905-5772
Phone
(765) 447-6323
Fax
(765) 446-1575
NPI assigned
Nov 28, 2007
Organization subpart
Yes
Parent organization
MIDWEST BRACE & LIMB INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Douglas Mullin
Title
Owner
Phone
(765) 447-6323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X IN Primary

Addresses

Primary practice location

3802 Amelia Ave
Suite B
Lafayette, IN 47905-5772

Mailing address

3802 Amelia Ave
Suite B
Lafayette, IN 47905-5772
Phone (765) 447-6323

National Provider Directory

National Provider Directory
Part of
Midwest Brace Limb Inc

Locations

3802 Amelia Ave
#B
Lafayette, IN 47905
Phone (317) 296-7330

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1801078274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 AMELIA AVE",
            "address_2": "SUITE B",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055772",
            "telephone_number": "765-447-6323",
            "fax_number": "765-446-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 AMELIA AVE",
            "address_2": "SUITE B",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055772",
            "telephone_number": "765-447-6323",
            "fax_number": "765-446-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST BRACE & LIMB INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDWEST BRACE & LIMB INC",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "MULLIN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-447-6323"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.