Wilson Brace and Limb Company Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CPO02517 Issued in DE

Legal business name

WILSON BRACE AND LIMB COMPANY INC

Practice address

500J E Woodrow Wilson Ave
Jackson, MS 39216-4538

Phone

(601) 982-9060

Fax

(601) 362-9911

NPI assigned

Jul 1, 2006

Last updated

Oct 3, 2007By 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. Jimmy Wilson, CPO

Title

President

Phone

(601) 982-9060

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1932138047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500J E WOODROW WILSON AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164538",
            "telephone_number": "601-982-9060",
            "fax_number": "601-362-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500J E WOODROW WILSON AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164538",
            "telephone_number": "601-982-9060",
            "fax_number": "601-362-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON BRACE AND LIMB COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-982-9060",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "DE",
            "license": "CPO02517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00040660",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanya Willis, CNNP
• Willowood Developmental Center
• Willowood Developmental Center
• Emory Elizabeth Wills, MD
• Felisa Denise Wilson -Simpson, CPNP, CFNP
• Ariel Danyeal Wilson
• Catherine Leigh Wilson, NP-C
• Courtney Wilson
• Earl Wilson III, REV, LMFT
• Erica D Wilson, CMHT

• Prosthetic/Orthotic Supplier in Jackson, MS
• Providers in Jackson, MS by specialty
• Prosthetic/Orthotic Supplier in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.