Organization Active NPI

New Life Brace and Limb, LLC

  • Prosthetic/Orthotic Supplier
  • Houston, TX
National Provider Identifier
1992934764
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
NEW LIFE BRACE AND LIMB, LLC
Practice address
7525 South Fwy
Houston, TX 77021-5928
Phone
(713) 440-7000
Fax
(713) 440-7002
NPI assigned
Jul 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Authorized official

Name
Mr. Russell Boone
Title
Owner
Phone
(713) 440-7000

Specialties & licenses 1

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

Addresses

Primary practice location

7525 South Fwy
Houston, TX 77021-5928

Mailing address

250 Blossom St Ste 200
Webster, TX 77598-4243
Phone (281) 316-5805

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110126000455 TX DME Supplier - Medical Supply Company With Orthotic-Prosthetic 1456553023 Practice locations: Houston, TX

Other NPIs with the same Medicare PAC ID 6

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
New Life Brace and Limb, Inc7525 South Fwy, Houston, TX 77021-5928(713) 440-7000 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jun 23, 2006

National Provider Directory

National Provider Directory
Tax ID family
New Life Brace and Limb LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

7525 South Fwy
Houston, TX 77021
Phone (713) 440-7000

250 Blossom St
Ste 200
Webster, TX 77598
Phone (281) 316-5805

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1992934764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BLOSSOM ST STE 200",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984243",
            "telephone_number": "281-316-5805",
            "fax_number": "281-316-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 SOUTH FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770215928",
            "telephone_number": "713-440-7000",
            "fax_number": "713-440-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE BRACE AND LIMB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-440-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.