Healthcare Provider Details
I. General information
NPI: 1992615744
Provider Name (Legal Business Name): O'BRIEN ORTHOPEDICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
160 THREE RIVERS DR NE STE B
ROME GA
30161-2303
US
IV. Provider business mailing address
1024 N HIGHLAND AVE
MURFREESBORO TN
37130-2443
US
V. Phone/Fax
- Phone: 706-624-9494
- Fax:
- Phone: 706-624-9494
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AARON
SORENSEN
Title or Position: CEO
Credential: MBA, LPO,
Phone: 615-542-0897