SOUTHERN BRACE & BILLING LLC (NPI# 1982884029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982884029 |
| Entity Type | Organization |
| Organization Name | SOUTHERN BRACE & BILLING LLC |
| Practice Address |
1700 W Government St Building A Suite C Brandon MS 39042-2417 |
| Practice Telephone | 6019069396 |
| Mailing Telephone | 6019069396 |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2007-11-06 |
| Authorized Official Name | MR. ANTHONY DERRICK SCOGGINS (PRESIDENT) |
| Authorized Official Telephone | 6019069396 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | APPLIED FOR | MS | Suppliers |
| Street Address |
1700 W GOVERNMENT ST BUILDING A SUITE C |
| City | BRANDON |
| State | MS |
| Zip Code | 39042-2417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760762579 | Brooks of Water Counseling | Marriage & Family Therapist | 1700 W Government St, Suite 207, Brandon, MS 39042-2417 | 2011-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821529 | Claudia Francis Jones | Technician | 1008 Greenfield Circle, Brandon, MS 39042 | 2019-10-03 |
| 1194294546 | Allen Keith Johnson Jr. | Counselor | 1700 West Government Street Building B. Suite O., Brandon, MS 39042 | 2018-11-15 |
| 1689167462 | Regional Home Care and Infusions, Inc. | Registered Nurse | 302 Town Square, Suite 110, Brandon, MS 39042 | 2018-06-07 |
| 1013419563 | Brandon Family Chiropractic LLC | Chiropractor | 1350 West Government Street Suite A1, Brandon, MS 39042 | 2018-03-01 |
| 1184146789 | Lakeland Home Program LLC | Clinic/Center | 209 Mar Lyn Dr, Brandon, MS 39042 | 2017-07-14 |
| 1104275510 | Matthew Logue | Community Health Worker | 2009 Mossy Cove, Brandon, MS 39042 | 2016-06-07 |
| 1932569704 | Haley Wilson | Chiropractor | 1350 W Government St Ste A1, Brandon, MS 39042 | 2016-03-07 |
| 1548698608 | St Dominic Medical Associates LLC | Family Medicine | 1297 West Government Street, Brandon, MS 39042 | 2013-10-28 |
| 1760825434 | Linda J. Bridges | Respiratory Therapist, Certified | 330 Rankin Road, Brandon, UNITED STATES 39042 | 2013-04-12 |
| 1861739922 | Georgia Christine Shirley | Nurse Practitioner | 2008 Brookstone Place, Brandon, MS 39042 | 2013-01-09 |
| Find all providers in zip 39042 | ||||
| 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 |
|---|---|---|---|---|
| 1114546462 | Nehemiah Levi Brown | Prosthetic/Orthotic Supplier | 111 Sara Fox Dr, Brandon, MS 39047-5527 | 2020-04-15 |
| 1740565860 | A New You Pink Boutique | Prosthetic/Orthotic Supplier | 106 W Robertson St, Brandon, FL 33511-5112 | 2011-10-20 |
| 1861685083 | Tampa Bay Orthopaedic Designs, Inc. | Prosthetic/Orthotic Supplier | 667 S Kings Ave, Brandon, FL 33511-4885 | 2007-08-21 |
| 1568555126 | Hanger Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 1119 Professional Park Dr, Brandon, FL 33511-4887 | 2006-10-02 |
| 1316047350 | Lifeshapes Boutique Inc | Prosthetic/Orthotic Supplier | 518 Lakewood Dr, Brandon, FL 33510-4037 | 2006-09-22 |
| 1972510501 | Westcoast Brace & Limb | Prosthetic/Orthotic Supplier | 620 Oakfield Drive, Brandon, FL 33511 | 2006-08-03 |
| 1740801695 | Unified Prosthetics and Orthotics, LLC. | Prosthetic/Orthotic Supplier | 111 Sara Fox Dr, Brandon, MS 39047-5527 | 2020-05-01 |
| 1225191729 | Musculoskeletal Institute Chartered | Prosthetic/Orthotic Supplier | 560 S Lakewood Dr Ste 101, Brandon, FL 33511 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010645 | The Royal Studio | Prosthetic/Orthotic Supplier | 246 Briarwood Dr Ste 102, Jackson, MS 39206-3027 | 2020-07-17 |
| 1881219046 | Color Me Jazzy | Prosthetic/Orthotic Supplier | 665 S Pear Orchard Rd Ste 106-560, Ridgeland, MS 39157-4861 | 2020-06-13 |
| 1154945418 | Dream Hair Care | Prosthetic/Orthotic Supplier | 4401 W 4th St Ste E, Hattiesburg, MS 39402-1006 | 2020-06-02 |
| 1578186409 | Perfectly Imperfect Wig Collection | Prosthetic/Orthotic Supplier | 418 Carrollton Ave, Lexington, MS 39095-3212 | 2020-05-27 |
| 1366064263 | Lavishinglux Hair Imports | Prosthetic/Orthotic Supplier | 200 Belle Chasse Cir, Jackson, MS 39212-3164 | 2020-05-13 |
| 1275155749 | Fearless Beauty Company | Prosthetic/Orthotic Supplier | 611 S Pear Orchard Rd # 771, Ridgeland, MS 39157-4836 | 2020-05-07 |
| 1982225850 | Luxury Locs | Prosthetic/Orthotic Supplier | 4401 W 4th St Ste D, Hattiesburg, MS 39402-1006 | 2020-05-02 |
| 1518587914 | Bmb Medical Beautique | Prosthetic/Orthotic Supplier | 6515 Goodman Rd Ste 300, Olive Branch, MS 38654-7333 | 2020-04-26 |
| 1316567795 | Gyzele's Hair Boutique | Prosthetic/Orthotic Supplier | 1104 W Sunflower Rd, Cleveland, MS 38732-2440 | 2020-04-25 |
| 1083234462 | Shear Beauty 31 Hair Studio | Prosthetic/Orthotic Supplier | 665 S Pear Orchard Rd Ste 106-573, Ridgeland, MS 39157-4861 | 2020-04-25 |
| Find all providers with the same taxonomy | ||||
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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.