Organization Active NPI

Orthotic Prosthetic Center Inc

  • Orthotist
  • Bradenton, FL
National Provider Identifier
1801994934
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
ORT9 Issued in FL
Legal business name
ORTHOTIC PROSTHETIC CENTER INC
Practice address
2717 Manatee Avenue West
Bradenton, FL 34205-4939
Phone
(941) 748-2521
Fax
(941) 749-0864
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Charles D Brown, CO
Title
President
Phone
(941) 748-2521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OrthotistGroup: 193400000X SINGLE SPECIALTY GROUP 222Z00000X ORT9 FL Primary

Addresses

Primary practice location

2717 Manatee Avenue West
Bradenton, FL 34205-4939

Mailing address

2717 Manatee Avenue West
Bradenton, FL 34205-4939
Phone (941) 748-2521

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801994934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 MANATEE AVENUE WEST",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342054939",
            "telephone_number": "941-748-2521",
            "fax_number": "941-749-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 MANATEE AVENUE WEST",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342054939",
            "telephone_number": "941-748-2521",
            "fax_number": "941-749-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOTIC PROSTHETIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-748-2521",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthotist",
            "state": "FL",
            "license": "ORT9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.