Provider Demographics
NPI:1851596951
Name:STEVE W BRAMEL
Entity Type:Organization
Organization Name:STEVE W BRAMEL
Other - Org Name:FAMILY SHOE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:W
Authorized Official - Last Name:BRAMEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-238-2040
Mailing Address - Street 1:117 LETTON DR
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40422-9389
Mailing Address - Country:US
Mailing Address - Phone:859-238-2040
Mailing Address - Fax:859-238-2040
Practice Address - Street 1:117 LETTON DR
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:KY
Practice Address - Zip Code:40422-9389
Practice Address - Country:US
Practice Address - Phone:859-238-2040
Practice Address - Fax:859-238-2040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-19
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000489974OtherANTHEM BCBS SUPPLIER ID
KY5641100001Medicare NSC