MEDICARE: ALABAMA ARTIFICIAL LIMB & ORTHOPEDIC SERVICE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier	019	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51050003	OTHER	AL	BCBS OF ALABAMA
2	4648	OTHER	AL	SENIORS FIRST
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	4648	OTHER	AL	HEALTHSPRING OF ALABAMA

General Provider Information

NPI Number	:	1619932001
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALABAMA ARTIFICIAL LIMB & ORTHOPEDIC SERVICE, INC.

Provider Business Mailing Address
First Line	:	102 WOODMONT BLVD STE 400
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37205-5217
Country	:	US
Telephone Number	:	615-550-8774
Fax Number	:	615-454-5352

Provider Business Practice Location Address
First Line	:	1223 E SOUTH BLVD
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36116-2315
Country	:	US
Telephone Number	:	334-284-0250
Fax Number	:	334-280-2853

Authorized Official
Title or Position	:	DIRECTOR
Name	:	BRADFORD NEIL GARDNER
Credential	:
Telephone Number	:	615-864-8783

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	04/16/2026

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