UNIFIED PROSTHETICS AND ORTHOTICS, LLC. (NPI# 1740801695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740801695 |
| Entity Type | Organization |
| Organization Name | UNIFIED PROSTHETICS AND ORTHOTICS, LLC. |
| Practice Address |
111 Sara Fox Dr Brandon MS 39047-5527 |
| Mailing Address |
Po Box 5001 Brandon MS 39047-5001 |
| Practice Telephone | 6016726617 |
| Practice Fax Number | 6015109300 |
| Mailing Telephone | 6016726617 |
| Mailing Fax Number | 6015109300 |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-05-08 |
| Authorized Official Name | SHYKEDRA DENIECE BROWN (OFFICE MANAGER) |
| Authorized Official Telephone | 6016726617 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
111 SARA FOX DR |
| City | BRANDON |
| State | MS |
| Zip Code | 39047-5527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114546462 | Nehemiah Levi Brown | Prosthetic/Orthotic Supplier | 111 Sara Fox Dr, Brandon, MS 39047-5527 | 2020-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396368783 | Siyuan Chen Kennedy | Counselor | 108 Sandstone Drive, Brandon, MS 39047 | 2020-05-20 |
| 1568019784 | Juarez Brown Emerson | Registered Nurse | 426 Pinebrook Circle, Brandon, MS 39047 | 2019-08-22 |
| 1649764127 | Specialty Diagnostics LLC | Family Medicine | 1149 Old Fannin Rd Ste 22, Brandon, MS 39047 | 2018-06-19 |
| 1528423035 | Kathlene Strangeman | Social Worker | 111 Lakeshore Dr Apt G403, Brandon, MS 39047 | 2015-12-28 |
| 1174935076 | Anthony Davis | Counselor | 198 Bellegrove Cir, Brandon, MS 39047 | 2014-05-27 |
| 1144659178 | Medical Foundation of Central Ms, Inc | Family Medicine | 1887 Spillway Rd., Brandon, MS 39047 | 2013-11-12 |
| 1437429941 | Picton Timothy Evans | Pharmacist | 150 B Cumberland Ed, Brandon, MS 39047 | 2012-01-01 |
| 1275828030 | Kathryn Audell Piburn | Nurse Practitioner | 1887 Spillway Rd Ste 140, Brandon, MS 39047 | 2011-06-09 |
| 1801930532 | Susanne Reynolds Moore | Dentist | 1149 Old Fannin Rd, Suite 26, Brandon, MS 39047 | 2007-02-16 |
| 1194898429 | Brookshire Grocery Company | Durable Medical Equipment & Medical Supplies | 143 Plaza Drive Ext, Attention Pharmacy Dept, Brandon, MS 39047 | 2006-11-16 |
| Find all providers in zip 39047 | ||||
| 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 |
|---|---|---|---|---|
| 1114546462 | Nehemiah Levi Brown | Prosthetic/Orthotic Supplier | 111 Sara Fox Dr, Brandon, MS 39047-5527 | 2020-04-15 |
| 1740565860 | A New You Pink Boutique | Prosthetic/Orthotic Supplier | 106 W Robertson St, Brandon, FL 33511-5112 | 2011-10-20 |
| 1982884029 | Southern Brace & Billing LLC | Prosthetic/Orthotic Supplier | 1700 W Government St, Building A Suite C, Brandon, MS 39042-2417 | 2007-11-06 |
| 1861685083 | Tampa Bay Orthopaedic Designs, Inc. | Prosthetic/Orthotic Supplier | 667 S Kings Ave, Brandon, FL 33511-4885 | 2007-08-21 |
| 1568555126 | Hanger Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 1119 Professional Park Dr, Brandon, FL 33511-4887 | 2006-10-02 |
| 1316047350 | Lifeshapes Boutique Inc | Prosthetic/Orthotic Supplier | 518 Lakewood Dr, Brandon, FL 33510-4037 | 2006-09-22 |
| 1972510501 | Westcoast Brace & Limb | Prosthetic/Orthotic Supplier | 620 Oakfield Drive, Brandon, FL 33511 | 2006-08-03 |
| 1225191729 | Musculoskeletal Institute Chartered | Prosthetic/Orthotic Supplier | 560 S Lakewood Dr Ste 101, Brandon, FL 33511 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010645 | The Royal Studio | Prosthetic/Orthotic Supplier | 246 Briarwood Dr Ste 102, Jackson, MS 39206-3027 | 2020-07-17 |
| 1881219046 | Color Me Jazzy | Prosthetic/Orthotic Supplier | 665 S Pear Orchard Rd Ste 106-560, Ridgeland, MS 39157-4861 | 2020-06-13 |
| 1154945418 | Dream Hair Care | Prosthetic/Orthotic Supplier | 4401 W 4th St Ste E, Hattiesburg, MS 39402-1006 | 2020-06-02 |
| 1578186409 | Perfectly Imperfect Wig Collection | Prosthetic/Orthotic Supplier | 418 Carrollton Ave, Lexington, MS 39095-3212 | 2020-05-27 |
| 1366064263 | Lavishinglux Hair Imports | Prosthetic/Orthotic Supplier | 200 Belle Chasse Cir, Jackson, MS 39212-3164 | 2020-05-13 |
| 1275155749 | Fearless Beauty Company | Prosthetic/Orthotic Supplier | 611 S Pear Orchard Rd # 771, Ridgeland, MS 39157-4836 | 2020-05-07 |
| 1982225850 | Luxury Locs | Prosthetic/Orthotic Supplier | 4401 W 4th St Ste D, Hattiesburg, MS 39402-1006 | 2020-05-02 |
| 1518587914 | Bmb Medical Beautique | Prosthetic/Orthotic Supplier | 6515 Goodman Rd Ste 300, Olive Branch, MS 38654-7333 | 2020-04-26 |
| 1316567795 | Gyzele's Hair Boutique | Prosthetic/Orthotic Supplier | 1104 W Sunflower Rd, Cleveland, MS 38732-2440 | 2020-04-25 |
| 1083234462 | Shear Beauty 31 Hair Studio | Prosthetic/Orthotic Supplier | 665 S Pear Orchard Rd Ste 106-573, Ridgeland, MS 39157-4861 | 2020-04-25 |
| Find all providers with the same taxonomy | ||||
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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.