VICTORY ORTHOTICS & PROSTHETICS LLC
NPI 1861664047
Prosthetic/Orthotic Supplier in Bristol, TN

Active since March 28, 2008
324 STEELES RD, BRISTOL, TN 37620(423) 323-1927 Get Directions Write a Review

NPPES record last updated: October 3, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 3, 2018, Aug 1, 2018, Mar 28, 2018 (3 updates tracked since 2018).

About Victory Orthotics & Prosthetics Llc NPPES

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

VICTORY ORTHOTICS & PROSTHETICS LLC (NPI 1861664047) is a healthcare organization registered as a prosthetic/orthotic supplier in Bristol, Tennessee and active in the NPI registry since March 2008. The organization lists Brad Gardner, Coo, as its authorized official.

NPPES Registry Identity

NPI1861664047
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameVICTORY ORTHOTICS & PROSTHETICS LLC
Location Address324 STEELES RDBristol, TN 37620
Mailing Address102 Woodmont Blvd Ste 120Nashville, TN 37205-5249 · (615) 550-8774 · Fax (615) 550-8774
Organization SubpartNo
Authorized OfficialBrad GardnerCoo · (615) 864-8790
Enumeration DateMarch 28, 2008
Last NPPES UpdateOctober 3, 20183 updates tracked since enumeration
NPI 1861664047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
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.
324 STEELES RD, Bristol, TN 37620

Other Identifiers 3

Other4017529TN · Bcbs
Medicaid1454184TN
Medicaid9190601VA

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Victory Orthotics And Prosthetics carries, from the Medicare DMEPOS supplier directory.

Victory Orthotics And Prosthetics

DMEPOS supplier · Bristol, TNOperated by Victory Orthotics & Prosthetics LLC

Does not accept Medicare assignment

Victory Orthotics And Prosthetics has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20450141
Medicare Participant SinceJanuary 1, 2019
Supplier Location324 Steeles RdBristol, TN 37620
Provider TypePedorthic Personnel
Supplier Specialties
Orthotic Personnel Prosthetic Personnel

Medicare Product Categories

Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
Diabetic Shoes and Inserts
Shoes, Socks, Insoles
Diabetic Shoes/Inserts - Custom
Custom fabricated shoes, socks, & insoles
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Victory Orthotics & Prosthetics LLC's NPI number?

The NPI number for Victory Orthotics & Prosthetics LLC is 1861664047. It was assigned to this organization in the NPPES registry on March 28, 2008.

Where is Victory Orthotics & Prosthetics LLC located?

Victory Orthotics & Prosthetics LLC is located at 324 Steeles Rd, Bristol, TN 37620. The listed phone number is (423) 323-1927.

What is Victory Orthotics & Prosthetics LLC's specialty?

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

Does Victory Orthotics & Prosthetics LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Victory Orthotics And Prosthetics does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Victory Orthotics & Prosthetics LLC accept?

Health plans from BlueCross BlueShield of Tennessee list Victory Orthotics & Prosthetics LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Victory Orthotics & Prosthetics LLC was last updated on October 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.