Organization · Type 2 NPI

Brevard Prosthetics & Orthotics, Inc

Prosthetic/Orthotic Supplier · Rockledge, FL

NPI number 1184769168 Active

Practice location

966 US Highway 1
Rockledge, FL 32955-2128

Call (321) 638-0262 Map

Fax (321) 638-4559

Mailing address

3803 E Lincoln Hwy
Merrillville, IN 46410-5809

Specialties and licenses

Taxonomy	Code	License
Prosthetic/Orthotic Supplier	335E00000X	None listed
Prosthetic/Orthotic Supplier Primary	335E00000X	None listed

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.

Another provider at this address

William Alan Fredrick, LPOProsthetics Case Management Rockledge, FL NPI 1700137676

Other prosthetic/orthotic supplier providers in Rockledge

See all in Rockledge →

NPI record

NPI: 1184769168
Entity type: Organization (Type 2)
Issued: Feb 20, 2007
Last updated: Mar 28, 2023
Status: Active
Subpart: Yes of Brevard Prosthetics & Orthotics, Inc.

Other names

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Brevard Prosthetics Inc. · former legal business name
Brevard Prosthetics Inc. · former legal business name

Authorized official

Mr. Sumesh Saxena
Member
(219) 648-2644

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1184769168

Brevard Prosthetics & Orthotics, Inc's National Provider Identifier is 1184769168, issued on Feb 20, 2007. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Rockledge, FL. The record was last updated on Mar 28, 2023.