Organization
NORTHERN BRACE COMPANY INC
Active
Other names
Northern Brace Northern Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY L WEST (VICE PRESIDENT)
(574) 233-4221
Entity
Organization
Contact information
Practice address
60160 BODNAR BLVD STE. 200, MISHAWAKA, IN 46544
(574) 256-9008
(574) 256-9016
Mailing address
610 N MICHIGAN ST STE 104, SOUTH BEND, IN 46601-1078
(574) 233-4221
(574) 233-3966
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100153030C
—
IN
Enumeration date
07/26/2007
Last updated
12/07/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up