BULOW BIOTECH PROSTHETICS, LLC (NPI# 1134332059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134332059 |
Entity Type | Organization |
Organization Name | BULOW BIOTECH PROSTHETICS, LLC |
Practice Address |
705 N 2nd St Suite A Clarksville TN 37040-1917 |
Mailing Address |
102 Woodmont Blvd Suite 120 Nashville TN 37205-2287 |
Practice Telephone | 9315200244 |
Practice Fax Number | 9315200241 |
Mailing Telephone | 6158648788 |
Mailing Fax Number | 6154545352 |
Enumeration Date | 2007-05-07 |
Last Update Date | 2017-10-09 |
Authorized Official Name | BRADFORD NEIL GARDNER (COO) |
Authorized Official Telephone | 6158648783 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699102475 | Bulow Biotech Prosthetics, LLC | Prosthetic/Orthotic Supplier | 3443 Dickerson Pike Ste 440, Nashville, TN 37207-2524 | 2013-10-10 |
1568764751 | Bulow Biotech Prosthetics, LLC | Durable Medical Equipment & Medical Supplies | 3227e Sunset Blvd, West Columbia, SC 29169 | 2010-11-22 |
1942477344 | Bulow Biotech Prosthetics, LLC | Prosthetic/Orthotic Supplier | 6736 Charlotte Pike Ste 101, Nashville, TN 37209-4290 | 2008-05-14 |
1952598088 | Bulow Biotech Prosthetics, LLC | Prosthetic/Orthotic Supplier | 921 S Willow Ave, Suite B, Cookeville, TN 38501-4154 | 2007-10-03 |
1114278900 | Bulow Biotech Prosthetics, LLC | Prosthetic/Orthotic Supplier | 1601 E 19th Ave, 5200, Denver, CO 80218-1216 | 2012-09-20 |
1982988390 | Bulow Biotech Prosthetics, LLC | Prosthetic/Orthotic Supplier | 10114 Huebner Rd, San Antonio, TX 78240-1319 | 2011-10-04 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | BULOW BIOTECH PROSTHETICS, LLC | 10114 Huebner Rd, San Antonio, TX 78229-1319 |
Colorado Business Entities | Bulow BioTech Prosthetics, LLC | 102 Woodmont Blvd, Suite 400, Nashville, TN 37205 |
Street Address |
705 N 2ND ST SUITE A |
City | CLARKSVILLE |
State | TN |
Zip Code | 37040-1917 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942498712 | Scott Moore | Orthotic Fitter | 705 N 2nd St, Suite A, Clarksville, TN 37040-1917 | 2007-10-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
Find all providers in zip 37040 |
Taxonomy Code | 335E00000X |
Grouping | Suppliers |
Classification | Prosthetic/Orthotic Supplier |
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548791668 | Restorative Health Services, Inc. | Prosthetic/Orthotic Supplier | 346 Warfield Blvd, Ste. B, Clarksville, TN 37043-5697 | 2017-03-21 |
1902157704 | Joseph Rieger | Prosthetic/Orthotic Supplier | 237 Dover Rd, Clarksville, TN 37042-4155 | 2012-09-20 |
1790058832 | Teresas Perfect Fit | Prosthetic/Orthotic Supplier | 3375 Highway 41a S, Clarksville, TN 37043-6244 | 2012-02-21 |
1801039102 | Cook's Orthopedics, Inc | Prosthetic/Orthotic Supplier | 741 Madison St, Suite A, Clarksville, TN 37040-4652 | 2009-04-16 |
1629195946 | Mach Services | Prosthetic/Orthotic Supplier | 5931 Gentle Call, Clarksville, MD 21029-1233 | 2007-03-23 |
1649898818 | Markeisha Laquita Wardell | Prosthetic/Orthotic Supplier | 1502 Tiny Town Rd, Clarksville, TN 37042-8087 | 2020-07-13 |
1396287686 | A Step Ahead Orthotics and Prosthetics Inc | Prosthetic/Orthotic Supplier | 237 Dover Rd, Clarksville, TN 37042-4155 | 2016-11-17 |
1285009910 | A Step Ahead, LLC | Prosthetic/Orthotic Supplier | 237 Dover Rd, Clarksville, TN 37042-4155 | 2015-12-07 |
1891769717 | Cape Prosthetics-orthotics Inc | Prosthetic/Orthotic Supplier | 1754 Madison St, Suite 2, Clarksville, TN 37043-2923 | 2006-02-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871100990 | Porsche Vaughn | Prosthetic/Orthotic Supplier | 2203 Clarksville Pike, Nashville, TN 37208-1053 | 2020-09-24 |
1245845148 | Hopeful Strands LLC | Prosthetic/Orthotic Supplier | 5852 Sunny Morning Dr, Memphis, TN 38141 | 2020-09-09 |
1134737562 | Carefluent Connect, LLC | Prosthetic/Orthotic Supplier | 60 Athlete's Way N, Suite 300, Mt Juliet, TN 37122-4440 | 2020-07-22 |
1609484450 | Crowned By Court Rx | Prosthetic/Orthotic Supplier | 6339 Charlotte Pike # 928, Nashville, TN 37209-2926 | 2020-07-17 |
1558982868 | Kcb Medical Wigs | Prosthetic/Orthotic Supplier | 4246 Hillgate Cv, Memphis, TN 38118-6739 | 2020-04-28 |
1154955268 | A Step Ahead Orthotics and Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1415 Old Weisgarber Rd Ste 360, Knoxville, TN 37909-1327 | 2020-02-27 |
1942849914 | American Brace & Limb Enterprise, LLC | Prosthetic/Orthotic Supplier | 9333 Parkwest Blvd., 103, Knoxville, TN 37923 | 2019-12-23 |
1841834322 | Southern Orthocare, Inc | Prosthetic/Orthotic Supplier | 11440 Parkside Dr Ste 304, Knoxville, TN 37934-2662 | 2019-10-29 |
1366901779 | Vascular and Vein Institute of The South, Pllc | Prosthetic/Orthotic Supplier | 6029 Walnut Grove Rd Ste 109, Memphis, TN 38120-2112 | 2019-03-15 |
1043775745 | Restorative Health Services, Inc | Prosthetic/Orthotic Supplier | 103 N Willow Ave, Cookeville, TN 38501-2369 | 2019-02-06 |
Find all providers with the same taxonomy |
City | CLARKSVILLE |
Zip Code | 37040 |
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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.