NPIMap

Organization Active NPI

Floyd Brace Company, Inc.

  • Prosthetic/Orthotic Supplier
  • Irmo, SC
National Provider Identifier
1942656145
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
FLOYD BRACE COMPANY, INC.
Practice address
8000 Broad River Rd Ste a
Irmo, SC 29063-2359
Phone
(803) 490-2020
NPI assigned
May 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Authorized official

Name
Niki Johnson
Title
Comptroller
Phone
(843) 614-6400

Specialties & licenses 1

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

Addresses

Primary practice location

8000 Broad River Rd Ste a
Irmo, SC 29063-2359

Mailing address

9213 University Blvd Ste D
North Charleston, SC 29406-9145
Phone (843) 614-6400

Other identifiers 1

IdentifierTypeStateIssuer
DE3774MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170531000891 SC DME Supplier - Certified Orth/Pros/Pedorthist 7517084791 Practice locations: Irmo, SC

Other NPIs with the same Medicare PAC ID 5

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

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
Floyd Brace Company Inc8000 Broad River Rd, Irmo, SC 29063-2359(843) 490-2020 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Floyd Brace Company Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

8000 Broad River Rd
#A
Irmo, SC 29063
Phone (803) 490-2020

147 Vera Rd
#F
Lexington, SC 29072
Phone (843) 490-2020

9231 Medical Plaza Dr
Ste D
North Charleston, SC 29406
Phone (803) 569-4373

NPI Registry JSON

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1942656145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9213 UNIVERSITY BLVD STE D",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069145",
            "telephone_number": "843-614-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 BROAD RIVER RD STE A",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632359",
            "telephone_number": "803-490-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOYD BRACE COMPANY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-06",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "NIKI",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "843-614-6400"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE3774",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irmo, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.