SOUTHEASTERN BRACING LLC (NPI# 1013416155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013416155 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN BRACING LLC |
| Practice Address |
651 Beacon Pkwy W Ste 114 Birmingham AL 35209-3128 |
| Mailing Address |
120 Austin Cir Birmingham AL 35242-7069 |
| Practice Telephone | 2058072251 |
| Practice Fax Number | 2058072251 |
| Mailing Telephone | 2058072251 |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-02-05 |
| Authorized Official Name | MR. JAMES ERIC MCBRAYER (PRESIDENT) |
| Authorized Official Telephone | 2058072251 |
| Authorized Official Credential | ORTHOTIC FITTER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
651 BEACON PKWY W STE 114 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35209-3128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437793510 | Marissa M Mcintyre | Registered Nurse | 3401 Independence Drive, Suite 221, Birmingham, AL 35209 | 2019-11-01 |
| 1093284457 | Patriot Healthcare of Alabama, LLC | Family Medicine | 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 | 2018-11-15 |
| 1164902268 | Lucy Johnston | Physician Assistant | 1602 Woodfern Dr, Homewood, AL 35209 | 2018-08-17 |
| 1881184646 | Wade Louis Grady | Specialist/Technologist | 800 Larkshore Drive, Birmingham, AL 35209 | 2018-05-16 |
| 1154823029 | Taylor Payne | Physical Medicine & Rehabilitation | 109 Devon Dr, Birmingham, AL 35209 | 2018-03-06 |
| 1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
| 1376060954 | Hannah Holloway | Specialist/Technologist | 725 Crest Lane, Birmingham, AL 35209 | 2017-08-24 |
| 1558887463 | Paul A Rhodes | Nurse Practitioner | 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 | 2017-08-22 |
| 1538542196 | Proteus Molecular and Clinical Lab LLC | Clinical Medical Laboratory | 218 Summit Pkwy, Suite 250, Homewood, AL 35209 | 2015-07-01 |
| 1124407739 | Randall Alban | Nurse Practitioner | 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 | 2015-05-28 |
| Find all providers in zip 35209 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972743 | Orthosports Associates, LLC | Durable Medical Equipment & Medical Supplies | 52 Medical Plaza Drive, Suite 220, Birmingham, AL 35235 | 2020-11-04 |
| 1922634690 | Satterfield Technologies, LLC | Durable Medical Equipment & Medical Supplies | 1500 1st Ave N Ste E105, Birmingham, AL 35203-1865 | 2020-03-13 |
| 1982244380 | Tactile Systems Technology, Inc | Durable Medical Equipment & Medical Supplies | 3535 Grandview Pkwy Ste 250, Birmingham, AL 35243-2141 | 2020-01-14 |
| 1447801378 | Heart Diabetic Supply LLC | Durable Medical Equipment & Medical Supplies | 2404 1st Ave N, Birmingham, AL 35203-4304 | 2019-09-23 |
| 1457900326 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 2860 Lakeshore Parkway, Birmingham, AL 35211-5500 | 2019-09-04 |
| 1356809578 | Preventric Diagnostics, LLC | Durable Medical Equipment & Medical Supplies | 2120 16th Ave S Ste 300, Birmingham, AL 35205-5046 | 2019-03-06 |
| 1700357910 | Central Alabama Bracing | Durable Medical Equipment & Medical Supplies | 1286 Oak Grove Rd, Birmingham, AL 35209-6929 | 2018-12-16 |
| 1356843304 | Neighborhood Concierge Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3532 Vann Rd Ste A, Birmingham, AL 35235-3262 | 2018-03-06 |
| 1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
| 1508379728 | Strive Medical, LLC | Durable Medical Equipment & Medical Supplies | 3536 Vann Rd Ste A10, Birmingham, AL 35235-3208 | 2017-11-09 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35209 |
Please comment or provide details below to improve the information on SOUTHEASTERN BRACING LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.