BREAST PROSTHESES & ORTHOTICS INC
NPI 1598797045
Orthotic Fitter in Bristol, TN

NPI Status: Active since July 07, 2006

Contact Information

1850 EDGEMONT AVE
BRISTOL, TN
ZIP 37620
Phone: (423) 573-8500
Fax: (423) 573-8501

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  • Organization
  • Orthotic Fitter
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About BREAST PROSTHESES & ORTHOTICS INC

This page provides the complete NPI Profile along with additional information for Breast Prostheses & Orthotics Inc, a provider established in Bristol, Tennessee operating as a Orthotic Fitter. The healthcare provider is registered in the NPI registry with number 1598797045 assigned on July 2006. The practitioner's primary taxonomy code is 225000000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Janice Mccracken (Owner)

NPI
1598797045
Provider Name
BREAST PROSTHESES & ORTHOTICS INC
Entity Type
Organization
Location Address
1850 EDGEMONT AVE BRISTOL, TN 37620
Location Phone
(423) 573-8500
Location Fax
(423) 573-8501
Mailing Address
1850 EDGEMONT AVE BRISTOL, TN 37620
Mailing Phone
(423) 573-8500
Mailing Fax
(423) 573-8501
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-07-2006
Last Update Date
07-21-2022
Code Navigator



Breast Prostheses & Orthotics Inc is a medicare supplier with PTAN 20575661 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies or Canes and/or Crutches or Walkers or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Breast Prostheses and/or Accessories or Diabetic Shoes and Inserts or Lymphedema Compression Treatment Items.

Location Map

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

Orthotic Fitter

Taxonomy Code
225000000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License State
VA
Taxonomy Description
An individual trained in the management of fitting prefabricated orthoses.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • UHC Bronze Copay Focus (Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Copay Focus + (Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Bronze Essential (No Referrals) - EPO
  • UHC Bronze Standard (No Referrals) - EPO
  • UHC Gold Advantage (Virtual Urgent Care, No Referrals) - EPO
  • UHC Gold Advantage + (Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Gold Copay Focus (Virtual Urgent Care, No Referrals) - EPO
  • UHC Gold Standard (No Referrals) - EPO
  • UHC Silver Advantage (Virtual Urgent Care, No Referrals) - EPO
  • UHC Silver Advantage + (Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Silver Copay Focus (Virtual Urgent Care, No Referrals) - EPO
  • UHC Silver Standard (No Referrals) - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

JANICE MCCRACKEN

Authorized Official Title
OWNER
Authorized Official Phone
(423) 573-8500

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
9190350MEDICAID (05)VA 
337633OTHER (01)VABC

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20575661
Accepts Medicare Assignment
YES
Specialities List
MSC With Orthotic Personnel, MSC With Prosthetic Personnel.
Competitive Bidding
NO

Supplies List

  • (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies - Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Breast Prostheses and/or Accessories - Prosthetic bra, Surgical bra
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
  • Lymphedema Compression Treatment Items -

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1598797045, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
8
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
0
Unchanged
Pos 9
4
Doubled → 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 7 → 14 → 5 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 8 + 8 + 1 + 4 + 9 + 1 + 4 + 0 + 8 + 24 = 75

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 75 is 80. The difference is the calculated check digit.

80 - 75 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1598797045.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Specialist
1850 EDGEMONT AVE
BRISTOL, TN 37620

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598797045, enumerated as an "organization" on July 07, 2006.

The provider is located at 1850 EDGEMONT AVE BRISTOL, TN 37620 and the phone number is (423) 573-8500.

Orthotic Fitter with taxonomy code 225000000X.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee,. Please consult your insurance carrier or call the provider to verify.