Southern Brace & Billing LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

APPLIED FOR Issued in MS

Legal business name

SOUTHERN BRACE & BILLING LLC

Practice address

1700 W Government St
Building a Suite C
Brandon, MS 39042-2417

Phone

(601) 906-9396

NPI assigned

Nov 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Derrick Scoggins

Title

President

Phone

(601) 906-9396

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1982884029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W GOVERNMENT ST",
            "address_2": "BUILDING A SUITE C",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422417",
            "telephone_number": "601-906-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W GOVERNMENT ST",
            "address_2": "BUILDING A SUITE C",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422417",
            "telephone_number": "601-906-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN BRACE & BILLING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "SCOGGINS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "DERRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-906-9396",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MS",
            "license": "APPLIED FOR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Brandon, MS
• Providers in Brandon, MS by specialty
• Prosthetic/Orthotic Supplier in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.