Organization Active NPI

Ledbetter Prosthetics and Orthotics, Inc.

  • Prosthetic/Orthotic Supplier
  • Dothan, AL
National Provider Identifier
1841795341
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
838 Issued in AL
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

Updated by the provider on May 9, 2023

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

Authorized official

Name
Brandon E Ledbetter, BOCPO/LP/LOFNPI 1770916454
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
249114MedicaidAL

Other names 1

  • National DME Supply, Inc. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180713002522 AL DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 6406103993 Practice locations: Dothan, AL

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Ledbetter Prosthetics and Orthotics186 Belmont Dr, Dothan, AL 36305-6501(334) 792-1527 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses Accepts assignmentParticipating since Apr 2, 2018

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.