BULOW BIOTECH PROSTHETICS, LLC (NPI# 1952598088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952598088 |
| Entity Type | Organization |
| Organization Name | BULOW BIOTECH PROSTHETICS, LLC |
| Practice Address |
921 S Willow Ave Suite B Cookeville TN 38501-4154 |
| Mailing Address |
102 Woodmont Blvd Suite 120 Nashville TN 37205-2287 |
| Practice Telephone | 9315200244 |
| Mailing Telephone | 6158648788 |
| Mailing Fax Number | 6154545352 |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2017-10-09 |
| Authorized Official Name | BRADFORD NEIL GARDNER (COO) |
| Authorized Official Telephone | 6158648783 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1455099 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699102475 | Bulow Biotech Prosthetics, LLC | Prosthetic/Orthotic Supplier | 3443 Dickerson Pike Ste 440, Nashville, TN 37207-2524 | 2013-10-10 |
| 1568764751 | Bulow Biotech Prosthetics, LLC | Durable Medical Equipment & Medical Supplies | 3227e Sunset Blvd, West Columbia, SC 29169 | 2010-11-22 |
| 1942477344 | Bulow Biotech Prosthetics, LLC | Prosthetic/Orthotic Supplier | 6736 Charlotte Pike Ste 101, Nashville, TN 37209-4290 | 2008-05-14 |
| 1134332059 | Bulow Biotech Prosthetics, LLC | Prosthetic/Orthotic Supplier | 705 N 2nd St, Suite A, Clarksville, TN 37040-1917 | 2007-05-07 |
| 1114278900 | Bulow Biotech Prosthetics, LLC | Prosthetic/Orthotic Supplier | 1601 E 19th Ave, 5200, Denver, CO 80218-1216 | 2012-09-20 |
| 1982988390 | Bulow Biotech Prosthetics, LLC | Prosthetic/Orthotic Supplier | 10114 Huebner Rd, San Antonio, TX 78240-1319 | 2011-10-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BULOW BIOTECH PROSTHETICS, LLC | 10114 Huebner Rd, San Antonio, TX 78229-1319 |
| Colorado Business Entities | Bulow BioTech Prosthetics, LLC | 102 Woodmont Blvd, Suite 400, Nashville, TN 37205 |
| Street Address |
921 S WILLOW AVE SUITE B |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-4154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| 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 |
|---|---|---|---|---|
| 1043775745 | Restorative Health Services, Inc | Prosthetic/Orthotic Supplier | 103 N Willow Ave, Cookeville, TN 38501-2369 | 2019-02-06 |
| 1326319633 | Tennessee Limb and Brace LLC | Prosthetic/Orthotic Supplier | 735 W Jackson St, Cookeville, TN 38501-3993 | 2012-01-18 |
| 1699786020 | Putnam County Orthopedic Appliance Co Inc | Prosthetic/Orthotic Supplier | 427 N Willow Ave, Suite 5, Cookeville, TN 38501-2354 | 2006-08-10 |
| 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 |
| 1841761947 | Mac's Medicine Mart Dba Unique Boutique | Prosthetic/Orthotic Supplier | 1455 E Center St Ste 2b, Kingsport, TN 37664-2501 | 2018-12-16 |
| Find all providers with the same taxonomy | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
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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.