NPI age
17 years
Enumerated 2008-07-10
● Active Type 2 · Organization
Steven G McCullough
Steven G McCullough is 1 of 741 prosthetic/orthotic supplier organizations in Texas.
Primary specialty
Prosthetic/Orthotic Supplier
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
McCullough
Owner
Last NPPES update
2008-07-10
Source: monthly bulk 2026-05
How this organization compares
Across 741 active prosthetic/orthotic supplier providers in Texas.
NPI age
17 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-07Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
1120 Medical Dr
Tyler, TX 757012109
Mailing address
1110 Medical Dr
Tyler, TX 757012109
Authorized official
Steven Glenn McCullough, CERTIFIED ORTHOTIST
Owner
📞 9035925900
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 |
|---|---|---|
| 05 (TX) | 087070101 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Custom Care Orthopedic Bracing LLC
Practice context
Single-site organization. Only one practice location on file.
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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.