Healthcare Provider Details

I. General information

NPI: 1528992815
Provider Name (Legal Business Name): FLOYD BRACE COMPANY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1578 CONSTITUTION BLVD STE 2
ROCK HILL SC
29732-3544
US

IV. Provider business mailing address

9213 UNIVERSITY BLVD STE D
NORTH CHARLESTON SC
29406-9145
US

V. Phone/Fax

Practice location:
  • Phone: 803-888-4905
  • Fax:
Mailing address:
  • Phone: 843-614-6400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: NIKI JOHNSON
Title or Position: COMPTROLLER
Credential:
Phone: 843-614-6382