Organization Active NPI

Central Brace & Limb Co., Inc.

  • Prosthetic/Orthotic Supplier
  • Kokomo, IN
National Provider Identifier
1992818942
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
CENTRAL BRACE & LIMB CO., INC.
Practice address
802 S Berkley Rd
Kokomo, IN 46901-5110
Phone
(765) 457-4868
Fax
(765) 457-0199
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2009

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

Authorized official

Name
M. Michael Hobbs
Title
President
Phone
(317) 925-4296

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

802 S Berkley Rd
Kokomo, IN 46901-5110

Mailing address

1901 N Capitol Ave
Indianapolis, IN 46202-1219
Phone (317) 925-4296

Other identifiers 1

IdentifierTypeStateIssuer
100278910DMedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930098588 IN DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 3274737457 Practice locations: Kokomo, IN

Other NPIs with the same Medicare PAC ID 4

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
Central Brace & Limb Co Inc802 S Berkley Rd, Kokomo, IN 46901-5110(765) 457-4868 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Feb 22, 2007

National Provider Directory

National Provider Directory
Tax ID family
Central Brace Limb Co Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1901 N Capitol Ave
Indianapolis, IN 46202
Phone (317) 925-4296

8402 Harcourt Rd
Ste 108
Indianapolis, IN 46260
Phone (317) 872-1596

1001 W 10th St
Rm 431
Indianapolis, IN 46202
Phone (317) 409-7974

500 E Springhill Dr
Ste G
Terre Haute, IN 47802
Phone (812) 232-2145

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253836800000",
    "number": "1992818942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N CAPITOL AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021219",
            "telephone_number": "317-925-4296",
            "fax_number": "317-924-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 S BERKLEY RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469015110",
            "telephone_number": "765-457-4868",
            "fax_number": "765-457-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL BRACE & LIMB CO., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2009-09-25",
        "status": "A",
        "authorized_official_last_name": "HOBBS",
        "authorized_official_first_name": "M. MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-925-4296"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100278910D",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; 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.