Susan Y Pelletier

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SUSAN Y PELLETIER

Doing business as

The Brace Center

Practice address

1600 Central Dr
Suite 157
Bedford, TX 76022-6000

Phone

(817) 267-0909

Fax

(817) 283-1868

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Susan Y PelletierNPI 1629409198

Title

Owner

Phone

(817) 267-0909

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Brace Center Doing business as

Locations

Practitioners 1

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

• Susan Yvonne Pelletier

  • Durable Medical Equipment & Medical Supplies
  • Bedford, TX
  • NPI 1629409198
  NPD (past) Authorized official

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1821022088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CENTRAL DR",
            "address_2": "SUITE 157",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226000",
            "telephone_number": "817-267-0909",
            "fax_number": "817-283-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CENTRAL DR",
            "address_2": "SUITE 157",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226000",
            "telephone_number": "817-267-0909",
            "fax_number": "817-283-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN Y PELLETIER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "PELLETIER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-267-0909"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10020974",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Brace Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sunnshine DME LLC
• Sunrise Home Health Services of America, Inc. (Sunrise Home Health Services)
• Surgical Masters First Assistants
• Susan D Gifford PHD, PC
• Susan D. Gifford PH.D., P.C. and Associates
• Thomas Swain, ATC, LAT
• Frank Harvey Swords, D.O.
• Tracy Sykes
• Maria del Sol Tager Esquinca, LMFT-A
• Maher Taha, M.D.

• Prosthetic/Orthotic Supplier in Bedford, TX
• Providers in Bedford, 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 Dec 13, 2013; 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.