BRISTOL ORTHOTICS & PROSTHETICS INC. NPI 1033132378

NPI Information

NPI: 1033132378
Provider Name: BRISTOL ORTHOTICS & PROSTHETICS INC.
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
553 HIGHWAY 126
BRISTOL, TN
ZIP 37620
Phone: (423) 968-4442
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BRISTOL ORTHOTICS & PROSTHETICS INC. is a prosthetic orthotic supplier in Bristol, TN. The provider is 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. BRISTOL ORTHOTICS & PROSTHETICS INC. NPI is 1033132378. The provider is registered as an organization entity type.

The provider's business location address is:

553 HIGHWAY 126
BRISTOL, TN
ZIP 37620-685
Phone: (423) 968-4442
Fax: (423) 968-4777

The provider's authorized official is Joshua C Graybeal .
The authorized official title is Cfo and has the following contact phone number (423) 968-4442.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 4/24/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	335E00000X	Prosthetic/Orthotic Supplier				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3539103	MEDICAID	TENNESSEE
2	141558	OTHER	VIRGINIA	ANTHEM
3	009190881	MEDICAID	VIRGINIA
4	009113827	MEDICAID	VIRGINIA
5	1131621	OTHER	TENNESSEE	UNITED MINE WORKERS
6	=========	OTHER	TENNESSEE	JOHN DEERE HEALTHCARE
7	0009791	OTHER	TENNESSEE	BLUE CROSS BLUE SHIELD
8	100025761	OTHER	TENNESSEE	CARITTEN
9	4562920001	MEDICARE NSC	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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