Organization
BLUEGRASS BRACING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY G CRUME (PRESIDENT)
(859) 266-5500
Entity
Organization
Contact information
Practice address
1389 W MAIN ST, LEXINGTON, KY 40508
(859) 264-5500
(859) 266-5523
Mailing address
PO BOX 1991, LEXINGTON, KY 40588
(859) 264-5500
(859) 266-5523
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
116963
KY
335E00000X
Prosthetic/Orthotic Supplier
116963
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000070428
BCBS
—
05
—
90124348
—
KY
Enumeration date
01/05/2006
Last updated
09/11/2025
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