CHARLESTON BRACE COMPANY, LLC (NPI# 1407165178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407165178 |
| Entity Type | Organization |
| Organization Name | CHARLESTON BRACE COMPANY, LLC |
| Practice Address |
2061 Highway 52 Moncks Corner SC 29461-5017 |
| Mailing Address |
3489 Ladson Rd Ste C Ladson SC 29456-4330 |
| Practice Telephone | 8438710600 |
| Practice Fax Number | 8438716510 |
| Mailing Telephone | 8438710600 |
| Mailing Fax Number | 8438716510 |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-09-29 |
| Authorized Official Name | NATHANIEL JACKSON (OWNER) |
| Authorized Official Telephone | 8438710600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265813968 | Charleston Brace Company, LLC | Prosthetic/Orthotic Supplier | 1220-b Hospital Drive, Mt Pleasant, SC 29464-3678 | 2015-06-18 |
| 1235448994 | Charleston Brace Company, LLC | Prosthetic/Orthotic Supplier | 726 Broughton St, Orangeburg, SC 29115-6648 | 2010-09-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHARLESTON BRACE COMPANY, LLC | 3489 Ladson Rd Ste C, Ladson, SC 29456-4330 |
| Street Address |
2061 HIGHWAY 52 |
| City | MONCKS CORNER |
| State | SC |
| Zip Code | 29461-5017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962420927 | Berkeley Family Practice LLC | Family Medicine | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2006-07-18 |
| 1598300840 | Debra Anne Mack | Physician Assistant | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2019-11-11 |
| 1699212019 | Rhiannon Gluhosky | Physical Therapist | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2017-01-24 |
| 1538611553 | Mary Matthews | Physical Therapist | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2016-10-25 |
| 1558736199 | Arcis Healthcare | Durable Medical Equipment & Medical Supplies | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2015-12-08 |
| 1184098485 | Arcis Healthcare, LLC | Orthopaedic Surgery | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2015-11-24 |
| 1033580980 | Mary Hogan | Physical Therapist | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2015-10-16 |
| 1447626676 | Britton Livingston Tucker | Physician Assistant | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2015-08-11 |
| 1134524028 | South Carolina Diagnostic Imaging, Inc. | Radiology | 2061 Highway 52, 400, Moncks Corner, SC 29461-5017 | 2014-11-04 |
| 1255733671 | Ashlyn Burns | Physician Assistant | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2014-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982267605 | Berkeley Citizens Inc | Early Intervention Provider Agency | P0 Drawer 429 1301 Old Hwy 52 South, Moncks Corner, SC 29461 | 2019-04-18 |
| 1376015222 | Anthony Johnson | Counselor | 306 Airport Drive, Moncks Corner, SC 29461 | 2018-12-17 |
| 1598243719 | Jana Matthews Chinners | Family Medicine | 2061 Us-52, Moncks Corner, SC 29461 | 2018-07-31 |
| 1285151225 | Nathan Andrew Bostrom | Occupational Therapist | 118 Carolina Avenue, Moncks Corner, SC 29461 | 2017-08-29 |
| 1942730528 | Martina Snider | Specialist | 393 Corner Square Plaza, Moncks Corner, SC 29461 | 2017-06-15 |
| 1104355502 | Mary Elizabeth Perdue | Counselor | 306 Airport Dr., Moncks Corner, SC 29461 | 2017-06-08 |
| 1619390481 | Berkeley Citizens, Inc. | Public Health or Welfare | 1301 Old Hwy. 52 South, Moncks Corner, SC 29461 | 2014-01-29 |
| 1326384082 | Amanda Trueworthy | Counselor | 3156 F South Live Oak Drive, Moncks Corner, SC 29461 | 2012-12-27 |
| 1790040202 | Melanie Mcendree | Community Health Worker | 105 Lobolly Dr., Moncks Corner, SC 29461 | 2012-07-10 |
| 1891093845 | Leslie Erin Blackmon Stelling | Pharmacist | 110 South Highway 52, Moncks Corner, SC 29461 | 2011-02-28 |
| Find all providers in zip 29461 | ||||
| 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 |
|---|---|---|---|---|
| 1508343328 | Nappy Rootz 15, LLC | Prosthetic/Orthotic Supplier | 393 Corner Square Plaza, Moncks Corner, SC 29461 | 2018-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056483 | C Marie Aesthetics | Prosthetic/Orthotic Supplier | 41f Goethe Rd, Bluffton, SC 29910-6001 | 2020-09-04 |
| 1124631056 | Dynesha Thomas | Prosthetic/Orthotic Supplier | 525 3rd Loop Rd Apt H, Florence, SC 29505-4706 | 2020-08-29 |
| 1427667591 | Ashleigha Rogers | Prosthetic/Orthotic Supplier | 324 Manning Ave, Sumter, SC 29150-5763 | 2020-07-24 |
| 1285252940 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 708 Lafayette Ave, Ste 4, Camden, SC 29020 | 2020-07-09 |
| 1427676386 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 1108 N Jefferies Blvd, Walterboro, SC 29488-2730 | 2020-07-08 |
| 1881219616 | Glammed Studio | Prosthetic/Orthotic Supplier | 47 Bristlecone Ln, Elgin, SC 29045-9584 | 2020-06-08 |
| 1497374557 | Image Obsession LLC | Prosthetic/Orthotic Supplier | 1855 E Main St # Sr03, Spartanburg, SC 29307-2309 | 2020-04-09 |
| 1598394926 | Hair Replacement Systems and Hairstyles Usa Inc. | Prosthetic/Orthotic Supplier | 105 E Butler Rd Ste C, Mauldin, SC 29662-2100 | 2020-04-07 |
| 1851958284 | Richard A Katenhusen | Prosthetic/Orthotic Supplier | 181 Bluffton Rd Ste B104, Bluffton, SC 29910-6218 | 2019-05-21 |
| 1699261917 | Carolina Bone & Joint Pa | Prosthetic/Orthotic Supplier | 1 Wellness Blvd Ste 104, Irmo, SC 29063-2872 | 2018-07-10 |
| Find all providers with the same taxonomy | ||||
| City | MONCKS CORNER |
| Zip Code | 29461 |
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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.