BRACE YOURSELF ORTHOTICS & PROSTETICS, LLC. (NPI# 1538641774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538641774 |
| Entity Type | Organization |
| Organization Name | BRACE YOURSELF ORTHOTICS & PROSTETICS, LLC. |
| Practice Address |
181 W Valley Ave Birmingham AL 35209-3691 |
| Practice Telephone | 2059193900 |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | ANTWAUN BURROUGHS (OWNER) |
| Authorized Official Telephone | 2059193900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | C52232 | AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
181 W VALLEY AVE |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35209-3691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629469168 | Destini Love | Social Worker | 181 W Valley Ave, Birmingham, AL 35209-3691 | 2015-02-05 |
| 1194387530 | Shari Keana Leverett | Counselor | 181 W Valley Ave, Birmingham, AL 35209-3691 | 2019-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437793510 | Marissa M Mcintyre | Registered Nurse | 3401 Independence Drive, Suite 221, Birmingham, AL 35209 | 2019-11-01 |
| 1093284457 | Patriot Healthcare of Alabama, LLC | Family Medicine | 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 | 2018-11-15 |
| 1164902268 | Lucy Johnston | Physician Assistant | 1602 Woodfern Dr, Homewood, AL 35209 | 2018-08-17 |
| 1881184646 | Wade Louis Grady | Specialist/Technologist | 800 Larkshore Drive, Birmingham, AL 35209 | 2018-05-16 |
| 1154823029 | Taylor Payne | Physical Medicine & Rehabilitation | 109 Devon Dr, Birmingham, AL 35209 | 2018-03-06 |
| 1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
| 1376060954 | Hannah Holloway | Specialist/Technologist | 725 Crest Lane, Birmingham, AL 35209 | 2017-08-24 |
| 1558887463 | Paul A Rhodes | Nurse Practitioner | 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 | 2017-08-22 |
| 1538542196 | Proteus Molecular and Clinical Lab LLC | Clinical Medical Laboratory | 218 Summit Pkwy, Suite 250, Homewood, AL 35209 | 2015-07-01 |
| 1124407739 | Randall Alban | Nurse Practitioner | 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 | 2015-05-28 |
| Find all providers in zip 35209 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| 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 |
|---|---|---|---|---|
| 1265930812 | Antwaun Burroughs | Orthotist | 181 W Valley Ave Ste 225, Birmingham, AL 35209-3691 | 2018-01-29 |
| 1568457760 | Lance Eric Pearson | Orthotist | 1425 21st St S, Suite 104, Birmingham, AL 35205-3898 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073038667 | Tracy Delane Adams | Orthotist | 2905 Bob Wallace Ave Sw Ste B, Huntsville, AL 35805-4166 | 2017-08-04 |
| 1508082249 | Richard Scussel | Orthotist | 1480 Ross Clark Cir, Dothan, AL 36301-4752 | 2007-04-18 |
| 1235382854 | Joseph E. Hoffert | Orthotist | 345 Healthwest Dr, Dothan, AL 36303-2053 | 2008-10-28 |
| 1013160886 | Audwin Darrell Harwell | Orthotist | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2008-10-24 |
| 1083830798 | Joseph Whatley | Orthotist | 345 Healthwest Dr, Dothan, AL 36303-2053 | 2007-04-18 |
| 1114080645 | Wes Holland | Orthotist | 1758 Park Pl, Suite 300, Montgomery, AL 36106-1127 | 2006-12-18 |
| 1235215880 | Joe Cantley | Orthotist | 945 Mcfarland Blvd, Northport, AL 35476-3374 | 2006-10-27 |
| 1992887228 | William A Gill | Orthotist | 945 Mcfarland Blvd, Northport, AL 35476-3374 | 2006-10-19 |
| City | BIRMINGHAM |
| Zip Code | 35209 |
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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.