Organization Active NPI

Coastal Bend Prosthetics

  • Prosthetic/Orthotic Supplier
  • Corpus Christi, TX
National Provider Identifier
1962055988
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
COASTAL BEND PROSTHETICS
Practice address
2222 Morgan Ave Ste 106
Corpus Christi, TX 78405-1900
Phone
(361) 980-3988
NPI assigned
Jul 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Jonathan J ScottNPI 1295548600
Title
Owner
Phone
(361) 980-3988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2222 Morgan Ave Ste 106
Corpus Christi, TX 78405-1900

Mailing address

4531 Ayers St Ste 112
Corpus Christi, TX 78415-1414
Phone (361) 800-1087

Other names 1

  • COASTAL ORTHOPEDIC SUPPLY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200810000960 TX DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 6800222431 Practice locations: Corpus Christi, TX

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
Coastal Orthopedic Supply2222 Morgan Ave, Corpus Christi, TX 78405-1900(361) 980-3988 Limb Prostheses Does not accept assignmentParticipating since Feb 28, 2020

National Provider Directory

National Provider Directory

Locations

2222 Morgan Ave
Ste 106
Corpus Christi, TX 78405
Phone (361) 653-0610

4531 Ayers St
Ste 112
Corpus Christi, TX 78415

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1962055988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4531 AYERS ST STE 112",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784151414",
            "telephone_number": "361-800-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 MORGAN AVE STE 106",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784051900",
            "telephone_number": "361-980-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL BEND PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-18",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-980-3988"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COASTAL ORTHOPEDIC SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COASTAL ORTHOPEDIC SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.