Healthcare Provider Details

I. General information

NPI: 1588202105
Provider Name (Legal Business Name): BOSTON BRACE INTERNATIONAL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2019
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7301 FOREST AVE STE 202
RICHMOND VA
23226-3792
US

IV. Provider business mailing address

37 SHUMAN AVE
STOUGHTON MA
02072-3734
US

V. Phone/Fax

Practice location:
  • Phone: 804-533-7272
  • Fax: 804-418-3127
Mailing address:
  • Phone: 508-588-6060
  • Fax: 508-559-2750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: THOMAS H MORRISSEY
Title or Position: PRESIDENT & CEO
Credential:
Phone: 508-588-6060