MR. BRIAN THOMAS BALLARD (NPI# 1871529826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871529826 |
| Entity Type | Individual |
| Full Name | MR. BRIAN THOMAS BALLARD |
| Credential | O.F.A. |
| Practice Address |
760 E Washington St Monticello FL 32344-2549 |
| Mailing Address |
356 Luther Fountain Rd Monticello FL 32344-4962 |
| Practice Telephone | 8509974400 |
| Mailing Telephone | 8505090463 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2008-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | ORF 168 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225000000X | Orthotic Fitter | OFA 160 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114919826 | Brian J Ballard | Optometrist | 300 N Broadway Ave, Riverton, WY 82501-3545 | 2005-08-18 |
| 1497218739 | Brian M Ballard | Student in an Organized Health Care Education/Training Program | 27100 Chardon Rd, Richmond Heights, OH 44143-1116 | 2019-04-12 |
| 1952892796 | Brian Daniel Ballard | Student in an Organized Health Care Education/Training Program | 1 Healthy Way, Oceanside, NY 11572-1551 | 2018-05-29 |
| Street Address |
760 E WASHINGTON ST |
| City | MONTICELLO |
| State | FL |
| Zip Code | 32344-2549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851875355 | Pedro Enrique Maseda | Physical Medicine & Rehabilitation | Brynwood Health Rehab, 1656 Jefferson Street, Monticello, FL 32344 | 2018-09-20 |
| 1821482142 | Krista L Mcmullen | Licensed Practical Nurse | 1255 West Washington Street, Monticello, FL 32344 | 2015-03-25 |
| 1861689994 | Ellen Hamilton | Social Worker | 5877 North Salt Road, Monticello, FL 32344 | 2007-10-03 |
| 1891898383 | Joseph C Dorn | Family Medicine | 193 Nursery Rd, Monticello, FL 32344 | 2006-09-07 |
| 1972569770 | Judy Ann Kleynen | Family Medicine | 1549 S. Jefferson Street, Monticello, FL 32344 | 2006-04-21 |
| 1770549545 | Wesley Douglas Scoles | Family Medicine | 1549 South Jefferson Steet, Monticello, FL 32344 | 2006-04-21 |
| 1396880654 | County of Jefferson Office of Clerk Circuit Court | Ambulance | 1456 S. Jefferson St, Monticello, FL 32344-0000 | 2007-02-21 |
| 1902047939 | True Blue Doulas, Inc | Community Health Worker | 680 W Halpin Rd, Monticello, FL 32344-0310 | 2009-03-21 |
| 1548860265 | Clinton Brad Wilson | Pharmacist | 650 Hiawatha Farms Rd, Monticello, FL 32344-0821 | 2020-10-30 |
| 1720590565 | Angela Decker Markley | Nurse Practitioner | 365 Holly Rd, Monticello, FL 32344-1011 | 2017-11-02 |
| Find all providers in zip 32344 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] 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 |
|---|---|---|---|---|
| 1265901110 | Elite Care Medical Supplies LLC | Orthotic Fitter | 1890 Kingsley Ave Ste. 114, Orange Park, FL 32073 | 2018-11-21 |
| 1023523743 | Charles Smith IIi | Orthotic Fitter | 220 N Sykes Creek Pkwy Ste 200, Merritt Island, FL 32953-3490 | 2017-12-04 |
| 1023444361 | Jay J Rhodes | Orthotic Fitter | 621 Cape Coral Pkwy E, Suite 1, Cape Coral, FL 33904-7515 | 2013-09-18 |
| 1386906360 | Kyle Smith | Orthotic Fitter | 2401 Executive Plaza Rd, Suite 1, Pensacola, FL 32504-8277 | 2012-06-14 |
| 1881928331 | Scott Philip Bransdorf | Orthotic Fitter | 1290 N Federal Hwy, Pompano Beach, FL 33062-3705 | 2009-09-30 |
| 1497939573 | David Rodney Marshall | Orthotic Fitter | 585 State Road 13, Suite 100, Fruit Cove, FL 32259-3175 | 2007-12-24 |
| 1003036633 | Paul Weiner | Orthotic Fitter | 7036 W Palmetto Park Rd Ste 59, Boca Raton, FL 33433-3404 | 2007-04-26 |
| 1851427363 | Harris Comfort Shoes Inc | Orthotic Fitter | 406 Via De Palma, Boca Raton, FL 33432 | 2007-02-26 |
| 1659426187 | A & D Shoes Inc | Orthotic Fitter | 888 Colorado Avenue, Stuart, FL 34994 | 2007-01-24 |
| 1518016492 | Shepherd Lee Beasley | Orthotic Fitter | 2311 Santa Barbara Blvd, Suite 105, Cape Coral, FL 33991-4394 | 2007-01-09 |
| Find all providers with the same taxonomy | ||||
| City | MONTICELLO |
| Zip Code | 32344 |
Please comment or provide details below to improve the information on MR. BRIAN THOMAS BALLARD.
| 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.