CENTRAL BRACE COMPANY (NPI# 1417962275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417962275 |
| Entity Type | Organization |
| Organization Name | CENTRAL BRACE COMPANY |
| Practice Address |
404 Portland St Rear Entrance Eye Research Foundation Columbia MO 65201-6506 |
| Practice Telephone | 5738740321 |
| Practice Fax Number | 5738742003 |
| Mailing Telephone | 5738740321 |
| Mailing Fax Number | 5738742003 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2009-09-10 |
| Authorized Official Name | GERALD WESTON BENEDICT (OWNER/PRESIDENT) |
| Authorized Official Telephone | 5738740321 |
| Authorized Official Credential | B.O.C.O., C. PED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 628004400 | 05 |
| Street Address |
404 PORTLAND ST REAR ENTRANCE EYE RESEARCH FOUNDATION |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-6506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
| Find all providers in zip 65201 | ||||
| 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 |
|---|---|---|---|---|
| 1598259954 | Natural Wigs Store | Prosthetic/Orthotic Supplier | 1722 Broad River Rd Ste C, Columbia, SC 29210-7336 | 2018-06-19 |
| 1215279013 | Mochix | Prosthetic/Orthotic Supplier | 2601 Maguire Blvd, Columbia, MO 65201-8253 | 2013-03-20 |
| 1992041867 | Level Four Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 3250 Harden Street Ext Ste 200, Columbia, SC 29203 | 2012-12-21 |
| 1649550963 | The Welbourne Group,llc | Prosthetic/Orthotic Supplier | 6830 Garners Ferry Rd, Columbia, SC 29209-1609 | 2011-08-17 |
| 1619296175 | Comforting Solutions, LLC | Prosthetic/Orthotic Supplier | 12118 Little Patuxent Pkwy Apt H, Columbia, MD 21044-2759 | 2010-05-24 |
| 1205016219 | Orthopartners Inc | Prosthetic/Orthotic Supplier | 6760 Alexander Bell Dr, Suite 150, Columbia, MD 21046-2191 | 2007-11-07 |
| 1689768376 | The Forms Boutique, Inc. | Prosthetic/Orthotic Supplier | 3308 Forest Dr, Columbia, SC 29204-4024 | 2006-10-03 |
| 1851302244 | Cook's Orthopedics, Inc. | Prosthetic/Orthotic Supplier | 1503 Hatcher Ln, Suite 140, Columbia, TN 38401-4833 | 2006-08-10 |
| 1366460248 | Alala, LLC | Prosthetic/Orthotic Supplier | 3400 Harden Street Ext, Columbia, SC 29203 | 2006-07-18 |
| 1881610293 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 10300 Little Patuxent Pkwy # 1, Columbia, MD 21044-3341 | 2006-07-15 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on CENTRAL BRACE COMPANY.
| 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.