Provider Type Icon

BRENNER ORTHOTIC & PROSTHETIC LABORATORIES INC NPI 1336117746


NPI Information

NPI: 1336117746
Provider Name: BRENNER ORTHOTIC & PROSTHETIC LABORATORIES INC

Doing Business As: MICHIGAN INSTITUTE FOR ELECTRONIC LIMB DEVELOPMENT

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
32975 8 MILE RD
LIVONIA, MI
ZIP 48152
Phone: (248) 615-0601
Get Directions

BRENNER ORTHOTIC & PROSTHETIC LABORATORIES INC is a prosthetic orthotic supplier in Livonia, MI. 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. BRENNER ORTHOTIC & PROSTHETIC LABORATORIES INC NPI is 1336117746. The provider is registered as an organization entity type.
The provider Is Doing Business As Michigan Institute For Electronic Limb Development.

The provider's business location address is:

32975 8 MILE RD
LIVONIA, MI
ZIP 48152-337
Phone: (248) 615-0601
Fax: (248) 615-0606

The provider's authorized official is Carl D Brenner .
The authorized official title is President and has the following contact phone number (248) 615-0601.

The enumeration date for this NPI number is 3/10/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10461990001MEDICAIDMICHIGAN

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.