CHARLESTON BRACE COMPANY, LLC
NPI 1265813968
Prosthetic/Orthotic Supplier in Mt Pleasant, SC

Active since June 18, 2015
1220-B HOSPITAL DRIVE, MT PLEASANT, SC 29464(843) 849-1930(843) 849-1932 Get Directions Write a Review

NPPES record last updated: August 31, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 31, 2016, Mar 21, 2016 (2 updates tracked since 2016).

  • Organization
  • Prosthetic/Orthotic Supplier

About CHARLESTON BRACE COMPANY, LLC

This page provides the complete NPI Profile along with additional information for Charleston Brace Company, Llc, a provider established in Mt Pleasant, South Carolina operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1265813968 assigned on June 2015. The practitioner's primary taxonomy code is 335E00000X with license number 010116126 (SC). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mr. Nathaniel A Jackson Co, Bocpo, Cped (Co)

NPI
1265813968 Verify this NPI
Provider Name
CHARLESTON BRACE COMPANY, LLC
Entity Type
Organization
Location Address
1220-B HOSPITAL DRIVE MT PLEASANT, SC 29464
Location Phone
(843) 849-1930
Location Fax
(843) 849-1932
Mailing Address
1220 HOSPITAL DR # B MT PLEASANT, SC 29464
Mailing Phone
(843) 849-1930
Mailing Fax
(843) 849-1932
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-18-2015
Last Update Date
08-31-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Prosthetic/Orthotic Supplier

Taxonomy Code
335E00000X
Type
Suppliers
License No.
010116126
License State
SC
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. NATHANIEL A JACKSON CO, BOCPO, CPED

Authorized Official Title
CO
Authorized Official Phone
(843) 871-0600

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265813968, enumerated as an "organization" on June 18, 2015.

The provider is located at 1220-B HOSPITAL DRIVE MT PLEASANT, SC 29464 and the phone number is (843) 849-1930.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.