BULOW BIOTECH PROSTHETICS, LLC (NPI# 1568764751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568764751 |
| Entity Type | Organization |
| Organization Name | BULOW BIOTECH PROSTHETICS, LLC |
| Practice Address |
3227e Sunset Blvd West Columbia SC 29169 |
| Mailing Address |
102 Woodmont Blvd Suite 120 Nashville TN 37205-2287 |
| Practice Telephone | 8039265519 |
| Practice Fax Number | 8039265521 |
| Mailing Telephone | 6158648788 |
| Mailing Fax Number | 6154545352 |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2017-10-09 |
| Authorized Official Name | BRADFORD NEIL GARDNER (COO) |
| Authorized Official Telephone | 6158648783 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DE3372-1568764751 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699102475 | Bulow Biotech Prosthetics, LLC | Prosthetic/Orthotic Supplier | 3443 Dickerson Pike Ste 440, Nashville, TN 37207-2524 | 2013-10-10 |
| 1942477344 | Bulow Biotech Prosthetics, LLC | Prosthetic/Orthotic Supplier | 6736 Charlotte Pike Ste 101, Nashville, TN 37209-4290 | 2008-05-14 |
| 1952598088 | Bulow Biotech Prosthetics, LLC | Prosthetic/Orthotic Supplier | 921 S Willow Ave, Suite B, Cookeville, TN 38501-4154 | 2007-10-03 |
| 1134332059 | Bulow Biotech Prosthetics, LLC | Prosthetic/Orthotic Supplier | 705 N 2nd St, Suite A, Clarksville, TN 37040-1917 | 2007-05-07 |
| 1114278900 | Bulow Biotech Prosthetics, LLC | Prosthetic/Orthotic Supplier | 1601 E 19th Ave, 5200, Denver, CO 80218-1216 | 2012-09-20 |
| 1982988390 | Bulow Biotech Prosthetics, LLC | Prosthetic/Orthotic Supplier | 10114 Huebner Rd, San Antonio, TX 78240-1319 | 2011-10-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BULOW BIOTECH PROSTHETICS, LLC | 10114 Huebner Rd, San Antonio, TX 78229-1319 |
| Colorado Business Entities | Bulow BioTech Prosthetics, LLC | 102 Woodmont Blvd, Suite 400, Nashville, TN 37205 |
| Street Address |
3227E SUNSET BLVD |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| 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 |
|---|---|---|---|---|
| 1750640918 | Augusta Prosthetics and Orthotics, Inc | Prosthetic/Orthotic Supplier | 3020 Sunset Blvd, Suite 106, West Columbia, SC 29169 | 2012-05-09 |
| 1972669042 | Center for Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 811 Sunset Blvd, West Columbia, SC 29169-6857 | 2006-12-31 |
| 1659352268 | Lexington Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 205 Medical Cir, West Columbia, SC 29169-3653 | 2005-11-10 |
| 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 | WEST COLUMBIA |
| Zip Code | 29169 |
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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.