NPIMap

Organization Active NPI

New Life Brace & Limb, LLC

  • Prosthetic/Orthotic Supplier
  • Alvin, TX
National Provider Identifier
1902030109
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
101307 Issued in TX
Legal business name
NEW LIFE BRACE & LIMB, LLC
Practice address
1 Medic Lane
Alvin, TX 77511
Phone
(281) 331-4500
Fax
(281) 331-4502
NPI assigned
May 4, 2009
Last updated
Oct 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Authorized official

Name
Mr. Russell Lynn Boone
Title
Owner
Phone
(281) 316-5805

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X
Prosthetic/Orthotic Supplier 335E00000X 101307 TX Primary

Addresses

Primary practice location

1 Medic Lane
Alvin, TX 77511

Mailing address

250 Blossom St. #200
Webster, TX 77598
Phone (281) 316-5805

National Provider Directory

National Provider Directory
Tax ID family
New Life Brace and Limb LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1902030109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BLOSSOM ST. #200",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "77598",
            "telephone_number": "281-316-5805",
            "fax_number": "281-316-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDIC LANE",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "77511",
            "telephone_number": "281-331-4500",
            "fax_number": "281-331-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE BRACE & LIMB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-04",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-316-5805",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "101307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alvin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.