CUSTOM CARE ORTHOPEDIC BRACING AND PROSTHETICS
NPI 1215978424
Prosthetic/Orthotic Supplier in Tyler, TX

Q: What is Steven G Mccullough And David W Holt Orthotics & Prosthetics LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Active since June 09, 2006

1120 MEDICAL DR, TYLER, TX 75701(903) 592-5900(903) 592-6683 Get Directions Write a Review

NPPES record last updated: January 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2020, Apr 13, 2017, Feb 3, 2017 (3 updates tracked since 2017).

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About Custom Care Orthopedic Bracing And Prosthetics NPPES

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

CUSTOM CARE ORTHOPEDIC BRACING AND PROSTHETICS (NPI 1215978424) is a healthcare organization registered as a prosthetic/orthotic supplier in Tyler, Texas and active in the NPI registry since June 2006. The organization lists Bradford Gardner, Coo, as its authorized official.

NPPES Registry Identity

NPI1215978424

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NameSTEVEN G MCCULLOUGH AND DAVID W HOLT ORTHOTICS & PROSTHETICS LLC

Location Address1120 MEDICAL DRTyler, TX 75701-2109

Mailing Address102 Woodmont Blvd Ste 120Nashville, TN 37205-5249 · (615) 864-8790 · Fax (615) 454-5352

Phone(903) 592-5900

Fax(903) 592-6683

Organization SubpartNo

Authorized OfficialBradford GardnerCoo · (615) 864-8783

Enumeration DateJune 9, 2006

Last NPPES UpdateJanuary 7, 20203 updates tracked since enumeration

✔ NPI 1215978424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

License✔ Licensed in TX · 101171

Definition

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.

1120 MEDICAL DR, Tyler, TX 75701

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Other Names 1

Doing Business AsCustom Care Orthopedic Bracing And Prosthetics

Other Identifiers 2

Other519266Bcbs

Medicaid087070101TX

Other Providers at the Same Location NPPES

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

STEVEN G MCCULLOUGH

Prosthetic/Orthotic Supplier

1120 MEDICAL DR
TYLER, TX 75701

Smith County (903) 592-5900

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 Steven G Mccullough And David W Holt Orthotics & Prosthetics LLC's NPI number?

The NPI number for Steven G Mccullough And David W Holt Orthotics & Prosthetics LLC is 1215978424. It was assigned to this organization in the NPPES registry on June 9, 2006. The provider is doing business as Custom Care Orthopedic Bracing And Prosthetics.

Where is Steven G Mccullough And David W Holt Orthotics & Prosthetics LLC located?

Steven G Mccullough And David W Holt Orthotics & Prosthetics LLC is located at 1120 Medical Dr, Tyler, TX 75701. The listed phone number is (903) 592-5900.

What is Steven G Mccullough And David W Holt Orthotics & Prosthetics LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Steven G Mccullough And David W Holt Orthotics & Prosthetics LLC was last updated on January 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.