Organization Active NPI

Myrtle Beach Brace & Limb Center, LLC

  • Customized Equipment (DME)
  • Myrtle Beach, SC
National Provider Identifier
1962480046
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
MYRTLE BEACH BRACE & LIMB CENTER, LLC
Practice address
1508 Hwy 501 West
Myrtle Beach, SC 29577-9746
Phone
(843) 444-0405
Fax
(843) 444-0507
NPI assigned
Jan 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Michele L. Barfield
Title
President, Clinical Director
Phone
(843) 444-0405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X SC Primary

Addresses

Primary practice location

1508 Hwy 501 West
Myrtle Beach, SC 29577-9746

Mailing address

1508 Hwy 501 West
Myrtle Beach, SC 29577-9746
Phone (843) 444-0405

Other identifiers 1

IdentifierTypeStateIssuer
DME699MedicaidSC

National Provider Directory

National Provider Directory

Locations

1508 Highway 501
Myrtle Beach, SC 29577
Phone (843) 340-1775

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962480046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 HWY 501 WEST",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295779746",
            "telephone_number": "843-444-0405",
            "fax_number": "843-444-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 HWY 501 WEST",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295779746",
            "telephone_number": "843-444-0405",
            "fax_number": "843-444-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRTLE BEACH BRACE & LIMB CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARFIELD",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "843-444-0405",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME699",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.