Organization
ALABAMA ARTIFICIAL LIMB & ORTHOPEDIC SERVICE, INC.
Active
Organization
ALABAMA ARTIFICIAL LIMB & ORTHOPEDIC SERVICE, INC.
Active
Other names
Dothan Brace Shop, ForMotion Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRADFORD NEIL GARDNER (DIRECTOR)
(615) 864-8783
Entity
Organization
Contact information
Practice address
1240 E MAIN ST, DOTHAN, AL 36301-1732
(334) 699-5462
Mailing address
102 WOODMONT BLVD STE 120, NASHVILLE, TN 37205-5249
(615) 550-8774
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
19
AL
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000050003
—
AL
01
—
0082-0000002
UNITED HEALTHCARE
AL
01
—
510-50003
BLUE CROSS/BLUE SHIELD
AL
Enumeration date
10/08/2013
Last updated
04/16/2026
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