Organization Active NPI

Extreme Prosthetics

  • Prosthetic/Orthotic Supplier
  • Owensboro, KY
National Provider Identifier
1972417657
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
EXTREME PROSTHETICS
Practice address
922 Triplett St Ste 5
Owensboro, KY 42303-3118
Phone
(270) 713-8868
Fax
(270) 889-5014
NPI assigned
Sep 30, 2026
Last updated
Sep 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Authorized official

Name
Mr. William Earl Bray Jr., CPO
Title
Owner/Manager
Phone
(270) 713-8868

Specialties & licenses 1

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

Addresses

Primary practice location

922 Triplett St Ste 5
Owensboro, KY 42303-3118

Mailing address

922 Triplett St Ste 5
Owensboro, KY 42303-3118
Phone (270) 713-8868

NPI Registry JSON

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1972417657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 TRIPLETT ST STE 5",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033118",
            "telephone_number": "270-713-8868",
            "fax_number": "270-889-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 TRIPLETT ST STE 5",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033118",
            "telephone_number": "270-713-8868",
            "fax_number": "270-889-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTREME PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "BRAY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "270-713-8868",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.