NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

MEDICAL CENTER ORTHOTICS AND PROSTHETICS, LLC
199 REEDSDALE RD
MILTON, MA02186
 Phone: 617-698-6334
 Fax: 617-698-3260
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
 

Orthotics/Prosthetics Fitter

225000000X
 

Orthotist

222Z00000X 55 Individual Certified Orthotist
Indicates primary specialty

NPI Profile & details for MEDICAL CENTER ORTHOTICS AND PROSTHETICS, LLC

NPI # 1336172196
LBN Legal business name MEDICAL CENTER ORTHOTICS AND PROSTHETICS, LLC
Authorized official BRADFORD GARDNER - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/07/2006
Last updated 05/29/2026 - Less than a week ago
Identifiers
MA Medicaid 1501003
MA Other 240254 BLUE CROSS BLUE SHIELD ID
MA Other 3137161 CIGNA PROVIDER ID
MA Other 800550 HARVARD PILGRIM PROV ID
MA Other 801088 TUFTS HEALTH PLAN PROV ID
MA Other 102441600 US DEPT OF LABOR PROV ID
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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