Provider Demographics
NPI:1972007482
Name:BRACING DIRECT LLC
Entity Type:Organization
Organization Name:BRACING DIRECT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAEMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-695-2431
Mailing Address - Street 1:4400 N FEDERAL HWY STE 70
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-3430
Mailing Address - Country:US
Mailing Address - Phone:561-430-5048
Mailing Address - Fax:443-242-7438
Practice Address - Street 1:4400 N FEDERAL HWY STE 70
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-3430
Practice Address - Country:US
Practice Address - Phone:561-430-5048
Practice Address - Fax:443-242-7438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-20
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies