Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BOLD CITY ORTHOTICS AND PROSTHETICS, LLC
NPI 1992538276
Prosthetic/Orthotic Supplier in Jacksonville, FL

Active since August 22, 2024
7563 PHILIPS HWY STE 204, JACKSONVILLE, FL 32256(904) 686-8222 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 8, 2026, Mar 6, 2025, Aug 22, 2024 (3 updates tracked since 2024).

About Bold City Orthotics And Prosthetics, Llc NPPES

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

BOLD CITY ORTHOTICS AND PROSTHETICS, LLC (NPI 1992538276), doing business as Bold City Orthotics And Prosthetics, is a healthcare organization registered as a prosthetic/orthotic supplier in Jacksonville, Florida and active in the NPI registry since August 2024. The organization lists Andrea Dean, Co-owner, Orthotist, as its authorized official.

NPPES Registry Identity

NPI1992538276
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameBOLD CITY ORTHOTICS AND PROSTHETICS, LLC
Location Address7563 PHILIPS HWY STE 204Jacksonville, FL 32256-6838
Mailing Address7563 Philips Hwy Ste 204Jacksonville, FL 32256-6838 · (904) 686-8222 · Fax (904) 686-8224
Organization SubpartNo
Authorized OfficialAndrea DeanCo-owner, Orthotist · (904) 686-8222
Enumeration DateAugust 22, 2024
Last NPPES UpdateJuly 8, 20263 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
NPI 1992538276 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.
7563 PHILIPS HWY STE 204, Jacksonville, FL 32256

Other Names 1

Doing Business AsBold City Orthotics And Prosthetics

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 Bold City Orthotics And Prosthetics, LLC's NPI number?

The NPI number for Bold City Orthotics And Prosthetics, LLC is 1992538276. It was assigned to this organization in the NPPES registry on August 22, 2024. The provider is doing business as Bold City Orthotics and Prosthetics.

Where is Bold City Orthotics And Prosthetics, LLC located?

Bold City Orthotics And Prosthetics, LLC is located at 7563 Philips Hwy Ste 204, Jacksonville, FL 32256. The listed phone number is (904) 686-8222.

What is Bold City Orthotics And 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 Bold City Orthotics And Prosthetics, LLC was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.