GRAYBEAL ORTHOPEDIC LLC NPI 1265452650

NPI Information

  • NPI: 1265452650
  • Provider Name: GRAYBEAL ORTHOPEDIC, LLC
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Organization
  • Doing Business As: ANCHOR BRACE AND LIMB
  • Address: 107 E MYRTLE AVE
    JOHNSON CITY, TN
    ZIP 37601
  • Phone: (423) 975-9884

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NPI Details

GRAYBEAL ORTHOPEDIC, LLC is a prosthetic orthotic supplier in Johnson City, 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. GRAYBEAL ORTHOPEDIC, LLC NPI is 1265452650. The provider is registered as an organization entity type.
The provider Is Doing Business As Anchor Brace And Limb.

The provider's business location address is:

107 E MYRTLE AVE
JOHNSON CITY, TN
ZIP 37601-631
Phone: (423) 975-9884
Fax: (423) 975-6678

The provider's authorized official is Adam Fann .
The authorized official title is Owner and has the following contact phone number (423) 975-9884.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 5/27/2020.

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
1335E00000XProsthetic/Orthotic SupplierYes

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
11452173MEDICAIDTENNESSEE
2003035088OTHERTENNESSEEBCBS OF TN

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: 11/21/2025

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