Provider Demographics
NPI:1598639916
Name:NORTHERN BRACE COMPANY INC
Entity type:Organization
Organization Name:NORTHERN BRACE COMPANY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:BINSON
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:586-755-2300
Mailing Address - Street 1:26834 LAWRENCE
Mailing Address - Street 2:
Mailing Address - City:CENTER LINE
Mailing Address - State:MI
Mailing Address - Zip Code:48015-1262
Mailing Address - Country:US
Mailing Address - Phone:586-755-2300
Mailing Address - Fax:586-755-2322
Practice Address - Street 1:9362 CASTLEGATE DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46256-1001
Practice Address - Country:US
Practice Address - Phone:833-485-6611
Practice Address - Fax:317-458-7056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies