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PREMIER BRACES
NPI 1104029743
Durable Medical Equipment & Medical Supplies in Clarkston, WA

Active since June 11, 2007
1366 BRIDGE ST, CLARKSTON, WA 99403(509) 751-1780(509) 751-8771 Get Directions Write a Review

NPPES record last updated: May 18, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premier Braces NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER BRACES (NPI 1104029743) is a healthcare organization registered as a durable medical equipment & medical supplies in Clarkston, Washington and active in the NPI registry since June 2007. The organization lists Rodney D. Scrimsher, President, as its authorized official.

NPPES Registry Identity

NPI1104029743
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePREMIER BRACES
Location Address1366 BRIDGE STClarkston, WA 99403-2332
Mailing Address3415 Quailwood CtClarkston, WA 99403-1749 · (509) 751-1780 · Fax (509) 751-8771
Phone(509) 751-1780
Fax(509) 751-8771
Organization SubpartNo
Authorized OfficialRodney D. ScrimsherPresident · (509) 751-1780
Enumeration DateJune 11, 2007
Last NPPES UpdateMay 18, 2009
✔ NPI 1104029743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in WA · 602329359
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
1366 BRIDGE ST, Clarkston, WA 99403
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Other Identifiers 1

Medicare NSC5165640001WA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEKER R MEDAVARAPU
Durable Medical Equipment & Medical Supplies
1366 BRIDGE ST
CLARKSTON, WA 99403
Asotin County (509) 751-1780

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premier Braces's NPI number?

The NPI number for Premier Braces is 1104029743. It was assigned to this organization in the NPPES registry on June 11, 2007.

Where is Premier Braces located?

Premier Braces is located at 1366 Bridge St, Clarkston, WA 99403. The listed phone number is (509) 751-1780.

What is Premier Braces's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Premier Braces was last updated on May 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.