Organization Active NPI

Bulow Biotech Prosthetics, LLC

Doing business as ForMotion Clinic

  • Prosthetic/Orthotic Supplier
  • Columbia, SC
National Provider Identifier
1932866217
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
BULOW BIOTECH PROSTHETICS, LLC
Doing business as
ForMotion Clinic
Practice address
3250 Harden Street Ext Ste 200
Columbia, SC 29203-6842
Phone
(803) 768-5090
NPI assigned
Nov 22, 2021
Last updated
Jun 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Bradford Gardner
Title
Coo
Phone
(615) 864-8783

Specialties & licenses 1

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

Addresses

Primary practice location

3250 Harden Street Ext Ste 200
Columbia, SC 29203-6842

Mailing address

102 Woodmont Blvd Ste 400
Nashville, TN 37205-5217
Phone (615) 864-8790

Other names 1

  • ForMotion Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220307000495 SC DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 3971706334 Practice locations: Columbia, SC

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Bulow Biotech Prosthetics LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

7325 Saint Andrews Rd
#G
Irmo, SC 29063
Phone (803) 768-5090

3227 Sunset Blvd
Ste 103
West Columbia, SC 29169
Phone (803) 926-5519

116B Merchants Blvd
Clarksville, TN 37040
Phone (931) 645-5741

705 N 2nd St
Clarksville, TN 37040
Phone (931) 645-5741

3443 Dickerson Pike
Ste 440
Nashville, TN 37207
Phone (615) 454-2484

4410 Medical Dr
Ste 210
San Antonio, TX 78229
Phone (210) 614-4077

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1932866217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055217",
            "telephone_number": "615-864-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 HARDEN STREET EXT STE 200",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036842",
            "telephone_number": "803-768-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULOW BIOTECH PROSTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "615-864-8783"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ForMotion Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.