MEDICARE: VIRGINIA PROSTHETICS, 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	1744P3200X	Prosthetics Case Management

General Provider Information

NPI Number	:	1518266527
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIRGINIA PROSTHETICS, INC.

Provider Business Mailing Address
First Line	:	4338 WILLIAMSON RD NW
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24012-2821
Country	:	US
Telephone Number	:	540-366-8287
Fax Number	:	540-366-3050

Provider Business Practice Location Address
First Line	:	1920 MEDICAL AVE
Second Line	:	SUITE G
City	:	HARRISONBURG
State	:	VA
Zip	:	22801-8016
Country	:	US
Telephone Number	:	540-433-3831
Fax Number	:

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

Provider Enumeration Date	:	03/17/2011
Last Update Date	:	02/16/2026

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