Provider Demographics
NPI:1689632150
Name:BOSTON BRACE INTERNATIONAL INC.
Entity Type:Organization
Organization Name:BOSTON BRACE INTERNATIONAL INC.
Other - Org Name:NOPCO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:H
Authorized Official - Last Name:MORRISSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-588-6060
Mailing Address - Street 1:37 SHUMAN AVE
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-3734
Mailing Address - Country:US
Mailing Address - Phone:800-262-2235
Mailing Address - Fax:508-559-2750
Practice Address - Street 1:300 LONGWOOD AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5724
Practice Address - Country:US
Practice Address - Phone:617-355-6887
Practice Address - Fax:617-730-0501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-03
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0009270OtherNHP ALL MASS LOCATIONS
1537482OtherMASS HEALTH NEMC
MA360254OtherBCBS OF MASS
MA800081OtherTUFTS ALL MASS LOCATIONS
MA830901OtherAETNA NON HMO
MA701124OtherHARVARD PILGRIM
1537474OtherMASS HEALTH BURLINGTON
MA981339OtherNETWORK HEALTH ALL MASS L
1537466OtherMASS HEALTH CHILDRENS
MA887817OtherAETNA HMO
MA981339OtherNETWORK HEALTH ALL MASS L
MA981339OtherNETWORK HEALTH ALL MASS L