BROOKS PROSTHETICS AND ORTHOTICS (NPI# 1780985911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780985911 |
| Entity Type | Organization |
| Organization Name | BROOKS PROSTHETICS AND ORTHOTICS |
| Practice Address |
527 Mills Ave Ste 101b Greenville SC 29605-5602 |
| Practice Telephone | 8642825213 |
| Practice Fax Number | 8642825214 |
| Mailing Telephone | 8642825213 |
| Mailing Fax Number | 8642825214 |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2019-04-09 |
| Authorized Official Name | GERI LECKIE (OFFICE MANAGER) |
| Authorized Official Telephone | 8642825213 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DE3401 | 05 |
| Street Address |
527 MILLS AVE STE 101B |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-5602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
| 1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
| 1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
| 1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
| 1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
| 1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
| Find all providers in zip 29605 | ||||
| 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 |
|---|---|---|---|---|
| 1891301156 | Tys Cranial Prothesis | Prosthetic/Orthotic Supplier | 2400 S Memorial Dr Ste 3b, Greenville, NC 27834-5031 | 2020-09-21 |
| 1578178026 | Teter Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 106 S Greenville West Dr Ste 3, Greenville, MI 48838-3504 | 2020-09-11 |
| 1770913204 | Pro Foot Solutions, LLC | Prosthetic/Orthotic Supplier | 403 Cedar Pines Dr, Greenville, SC 29615-6242 | 2013-11-19 |
| 1598006108 | For Every Woman, LLC | Prosthetic/Orthotic Supplier | 90 Orchard Park Dr, Greenville, SC 29615-3567 | 2013-03-06 |
| 1881953198 | New Hope Prosthetics & Orthodics Inc | Prosthetic/Orthotic Supplier | 585 Tennessee Gas Rd, Greenville, MS 38701 | 2012-05-07 |
| 1679712137 | Jerry W O'neal | Prosthetic/Orthotic Supplier | 40 Lanneau Dr, Suite 2a, 1990 Augusta Street, Greenville, SC 29605-1708 | 2009-02-06 |
| 1306091319 | Rick F Gagliano | Prosthetic/Orthotic Supplier | 2500 West 5th Street, Carolina Ortho Prosthetics Inc, Greenville, NC 27834-7812 | 2008-11-19 |
| 1285890574 | Anderson Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 440 Roper Mt Rd, Suite G-2, Greenville, SC 29615-4242 | 2008-08-06 |
| 1609094598 | David F Collins | Prosthetic/Orthotic Supplier | 657 S Memorial Dr, Greenville, NC 27834-2856 | 2007-04-23 |
| 1629120688 | Amgf Inc | Prosthetic/Orthotic Supplier | 940 Grove Rd # A, Greenville, SC 29605-4215 | 2007-01-18 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
Please comment or provide details below to improve the information on BROOKS PROSTHETICS AND ORTHOTICS.
| 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.