Anderson Brace & Limb PLLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

PRO0000000087 Issued in TN

Legal business name

ANDERSON BRACE & LIMB PLLC

Practice address

300 E Parkview St
Dyersburg, TN 38024-3110

Phone

(731) 286-6006

Fax

(731) 286-5570

NPI assigned

Mar 31, 2008

Last updated

Jun 1, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark Wesley Anderson, CPONPI 1467492660

Title

Owner/Certified Prosthetist Orthoti

Phone

(731) 286-6006

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Wesley Anderson, CPO

  • Prosthetist
  • Dyersburg, TN
  • NPI 1467492660
  Authorized official Same address or phone

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496275200000",
    "number": "1871765883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E PARKVIEW ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243110",
            "telephone_number": "731-286-6006",
            "fax_number": "731-286-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E PARKVIEW ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243110",
            "telephone_number": "731-286-6006",
            "fax_number": "731-286-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON BRACE & LIMB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2017-06-01",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER/CERTIFIED PROSTHETIST ORTHOTI",
        "authorized_official_telephone_number": "731-286-6006",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TN",
            "license": "PRO0000000087",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TN",
            "license": "ORT0000000109",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jameela Olean Ahmad, LMSW
• Air Evac EMS Inc. (Air Evac Lifeteam)
• Wyatt Robert Algee, M.D.
• Jared Michael Alvey, OT
• Ambulance Services of Dyersburg, Inc. (Dyersburg Regional EMS)
• Katelyn E. Anderson, SLP
• Mark Wesley Anderson, CPO
• Stephanie Andrews
• Anesthesia Care Services PLLC
• Anesthesia Partners PLLC

• Prosthetic/Orthotic Supplier in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Prosthetic/Orthotic Supplier in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2017; 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.