CHARLESTON BRACE CO, LLC (NPI# 1659591550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659591550 |
| Entity Type | Organization |
| Organization Name | CHARLESTON BRACE CO, LLC |
| Practice Address |
2270 Ashley Crossing Dr Suite 140 Charleston SC 29414-5732 |
| Practice Telephone | 8435714646 |
| Practice Fax Number | 8435711611 |
| Mailing Telephone | 8435714646 |
| Mailing Fax Number | 8435711611 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-04-29 |
| Authorized Official Name | MR. NATHANIEL JACKSON (OWNER) |
| Authorized Official Telephone | 8435714646 |
| Authorized Official Credential | CO, CPED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 010756087 | SC | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720171929 | Charleston Brace Co, LLC | Prosthetic/Orthotic Supplier | 3489 Ladson Rd Ste C, Ladson, SC 29456-4330 | 2006-10-02 |
| 1063617629 | Charleston Brace Co, LLC | Prosthetic/Orthotic Supplier | 111 Magnolia St, Walterboro, SC 29488-2911 | 2007-06-15 |
| Street Address |
2270 ASHLEY CROSSING DR SUITE 140 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-5732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407858996 | Thomas Bailey Harper IIi | Allergy & Immunology | 2270 Ashley Crossing Dr, Suite 150, Charleston, SC 29414-5732 | 2005-08-15 |
| 1821437336 | Brendan James Neary | Family Medicine | 2270 Ashley Crossing Dr, Ste. 170, Charleston, SC 29414-5732 | 2013-06-18 |
| 1922300342 | Roper Saint Francis Physicians Network | Surgery | 2270 Ashley Crossing Dr, Suite 155, Charleston, SC 29414-5732 | 2010-11-18 |
| 1891009379 | Deanna Lenore O'hare | Technician/Technologist | 2270 Ashley Crossing Dr, Suite 100, Charleston, SC 29414-5732 | 2010-07-27 |
| 1306089602 | Roper Saint Francis Physicians Network | Internal Medicine | 2270 Ashley Crossing Dr, Suite 170, Charleston, SC 29414 | 2009-04-16 |
| 1124289848 | Alexis Anne Jesup | Family Medicine | 2270 Ashley Crossing Dr, Suite 170, Charleston, SC 29414-5732 | 2008-06-25 |
| 1326209115 | Katherine Seawright Frizelle | Family Medicine | 2270 Ashley Crossing Dr, Suite 170, Charleston, SC 29414-5732 | 2008-06-24 |
| 1265612378 | Karen S Norman | Technician/Technologist | 2270 Ashley Crossing Dr, Suite 100, Charleston, SC 29414-5749 | 2007-11-06 |
| 1134309263 | Professional Optical | Ophthalmology | 2270 Ashley Crossing Dr, Ste 100, Charleston, SC 29414-5749 | 2007-11-06 |
| 1518153402 | Anna Weiss Kirk | Internal Medicine | 2270 Ashley Crossing Dr, Ste 170, Charleston, SC 29414-5732 | 2007-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| 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 |
|---|---|---|---|---|
| 1689209660 | Annedie Beauty Equipment Wholesale | Prosthetic/Orthotic Supplier | 3406 Pennsylvania Avenue, Charleston, WV 25302 | 2020-03-10 |
| 1306350426 | Musc Prosthetic Orthotic Services LLC | Prosthetic/Orthotic Supplier | 135 Rutledge Ave Fl 4, Charleston, SC 29425-8903 | 2017-11-28 |
| 1669893624 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 1331 Ashley River Rd Bldg C, Charleston, SC 29407-5315 | 2013-12-18 |
| 1174848485 | Mcgrew Orthopedic, LLC | Prosthetic/Orthotic Supplier | 1301 Washington Street W, Charleston, WV 25302-1909 | 2010-03-30 |
| 1972747855 | Carolina Orthotics and Prosthetics of Myrtle Beach LLC | Prosthetic/Orthotic Supplier | 285 Meeting St, Charleston, SC 29401-1550 | 2009-04-23 |
| 1982884433 | Lehotay Prosthetics, LLC | Prosthetic/Orthotic Supplier | 624 Central Ave, Charleston, WV 25302-1912 | 2007-11-13 |
| 1548454242 | C Howell Shoes Inc | Prosthetic/Orthotic Supplier | 1755 Sam Rittenberg Blvd, Charleston, SC 29407-4927 | 2007-09-05 |
| 1770774895 | Adaptive Limb & Brace, LLC | Prosthetic/Orthotic Supplier | 1033 Wappoo Rd, Suite E, Charleston, SC 29407-6087 | 2007-08-05 |
| 1649203670 | Charleston Orthopedic Appliances Inc | Prosthetic/Orthotic Supplier | 1532 Kanawha Blvd W, Charleston, WV 25312-2533 | 2006-07-10 |
| 1639124423 | Mountain State Prosthetics, LLC | Prosthetic/Orthotic Supplier | 216 Brooks St, Suite 100, Charleston, WV 25301-1828 | 2006-05-23 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
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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.