BRISTOL ORTHOTICS & PROSTHETICS, INC (NPI# 1326452566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326452566 |
| Entity Type | Organization |
| Organization Name | BRISTOL ORTHOTICS & PROSTHETICS, INC |
| Practice Address |
504 Justis Dr Greeneville TN 37745-4287 |
| Mailing Address |
553 Highway 126 Bristol TN 37620-1685 |
| Practice Telephone | 4236382670 |
| Practice Fax Number | 4236386592 |
| Mailing Telephone | 4239684442 |
| Mailing Fax Number | 4239684777 |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-06-16 |
| Authorized Official Name | JOSHUA WILL GRAYBEAL (OWNER/PRESIDENT) |
| Authorized Official Telephone | 4239684442 |
| Authorized Official Credential | C.P.,L.P.O. |
| 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 |
|---|---|---|---|---|
| 1023540267 | Bristol Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 114 W Springbrook Dr, Johnson City, TN 37604-1757 | 2017-03-28 |
| 1407240286 | Bristol Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 445 Porterfield Hwy Sw, Suite C, Abingdon, VA 24210-2556 | 2015-03-19 |
| 1437563665 | Bristol Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 921 Broad St, Kingsport, TN 37660-3801 | 2014-06-16 |
| 1578798567 | Bristol Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 113 Short St, Suite 5, Pounding Mill, VA 24637-4278 | 2009-05-20 |
| Street Address |
504 JUSTIS DR |
| City | GREENEVILLE |
| State | TN |
| Zip Code | 37745-4287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992988463 | Terry Graybeal | Durable Medical Equipment & Medical Supplies | 504 Justis Dr, Greeneville, TN 37745-4287 | 2007-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619409489 | Watauga Recovery Center Greeneville | Family Medicine | 819 W Church Street, Greeneville, TN 37745 | 2017-03-31 |
| 1154862340 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 1404 East Church St, Greeneville, TN 37745 | 2017-03-20 |
| 1770024010 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 1406 East Church Street, Greeneville, TN 37745 | 2017-03-20 |
| 1336685569 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 1010 Old Stage Rd, Greeneville, TN 37745 | 2017-01-11 |
| 1750635298 | Matthew Brandon Allen | Pharmacist | 515 Van Hill Rd, Greeneville, TN 37745 | 2012-11-06 |
| 1083963466 | Addison Dimartino | Optometrist | 204 Emory Dr, Greeneville, TN 37745 | 2012-08-31 |
| 1639443419 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2499 Buckingham Rd., Greeneville, TN 37745 | 2012-02-27 |
| 1477786168 | Mcfarland Group Inc. | Durable Medical Equipment & Medical Supplies | 1413 Tusculum Blvd, Greeneville, TN 37745 | 2009-08-27 |
| 1043458128 | Greenville Dental Associates, Pllc | Dentist | 1308 Tusculum Blvd., Greeneville, TN 37745 | 2009-01-28 |
| 1275779555 | Professional Hearing Aid Ctr | Hearing Aid Equipment | 705 Professional Plaza, #3, Greenville, TN 37745 | 2008-12-17 |
| Find all providers in zip 37745 | ||||
| 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 |
|---|---|---|---|---|
| 1730481383 | Custom Healthcare, LLC | Prosthetic/Orthotic Supplier | 2400 E Andrew Johnson Hwy, Greeneville, TN 37745-0948 | 2010-12-01 |
| 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 | GREENEVILLE |
| Zip Code | 37745 |
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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.