NPI age
19 years
Enumerated 2006-11-28
● Active Type 2 · Organization
Subpart
Rocky Mountain Artificial Limb & Brace, Inc
Rocky Mountain Artificial Limb & Brace, Inc is 1 of 48 prosthetic/orthotic supplier organizations in Idaho.
Primary specialty
Prosthetic/Orthotic Supplier
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gardner
Vp, Coo
Last NPPES update
2024-09-26
Source: monthly bulk 2026-05
How this organization compares
Across 48 active prosthetic/orthotic supplier providers in Idaho.
NPI age
19 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
2350 Via Caporatti Dr Ste B
Pocatello, ID 832015095
Mailing address
102 Woodmont Blvd, Suite 120
Nashville, TN 37205
Authorized official
Bradford Gardner
Vp, Coo
📞 6155508760
Specialties
-
Prosthetic/Orthotic Supplier PrimaryAn 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 89730 | BLUE CROSS OF IDAHO |
Practice context
Single-site organization. Only one practice location on file.
Subpart of Bulow Holdings, Llc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.