Active NPI
Ledbetter Prosthetics and Orthotics, Inc.
- Prosthetic/Orthotic Supplier
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 838
- Legal business name
- LEDBETTER PROSTHETICS AND ORTHOTICS, INC.
- Practice address
- 186 Belmont Dr.
Dothan, AL 36305-6501 - Phone
- (334) 792-1527
- Fax
- (334) 792-6117
- NPI assigned
- Mar 27, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandon E Ledbetter, BOCPO/LP/LOF
- Title
- Owner/President
- Phone
- (334) 792-1527
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | 838 | AL | Primary |
Addresses
Primary practice location
186 Belmont Dr.
Dothan, AL 36305-6501
Mailing address
186 Belmont Dr.
Dothan, AL 36305-6501
Phone (334) 792-1527
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 249114 | Medicaid | AL |
Other names 1
- National DME Supply, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180713002522 | AL | DME Supplier - Orthotic Personnel | 6406103993 | Practice locations: Dothan, AL |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Ledbetter Prosthetics and Orthotics | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
186 Belmont Dr
Dothan, AL 36305
Phone (334) 792-1527
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Prosthetist
- Dothan, AL
- NPI 1770916454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683590400000",
"number": "1841795341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 BELMONT DR.",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363056501",
"telephone_number": "334-792-1527",
"fax_number": "334-792-6117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 BELMONT DR.",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363056501",
"telephone_number": "334-792-1527",
"fax_number": "334-792-6117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEDBETTER PROSTHETICS AND ORTHOTICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-27",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A",
"authorized_official_last_name": "LEDBETTER",
"authorized_official_first_name": "BRANDON",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "334-792-1527",
"authorized_official_credential": "BOCPO/LP/LOF"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "AL",
"license": "838",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "249114",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "National DME Supply, Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.