BRISTOL ORTHOTICS & PROSTHETICS, INC; NPI #1578798567

Contact Information

BRISTOL ORTHOTICS & PROSTHETICS, INC

113 SHORT ST
SUITE 5
POUNDING MILL, VA 24637-4278

Phone: 276-963-7786
Fax: 276-963-1187
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Prosthetic/Orthotic Supplier	335E00000X	51	Medical Supply Company with Orthotist

Indicates primary specialty

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NPI Profile & details for BRISTOL ORTHOTICS & PROSTHETICS, INC

NPI # 1578798567

LBN Legal business name BRISTOL ORTHOTICS & PROSTHETICS, INC

Authorized official JOSHUA GRAYBEAL - (CP)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 05/20/2009

Last updated 04/08/2010 - About 16 years ago

Identifiers

TN	License #	PRO0000000023
TN	Medicaid	3539103
VA	Medicaid	009113827
VA	Medicaid	009190881
TN	Other	0009791	BLUR CROSS BLUE SHIELD
TN	Other	1131621	UNITED MINE WORKERS
VA	Other	141558	ANTHEM

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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BRISTOL ORTHOTICS & PROSTHETICS, INC

Contact Information

Specialty

Prosthetic/Orthotic Supplier

NPI Profile & details for BRISTOL ORTHOTICS & PROSTHETICS, INC

Reviews for BRISTOL ORTHOTICS & PROSTHETICS, INC