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NPI Code Detail

MEDICARE: VIRGINIA PROSTHETICS, INC.

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
1335E00000XProsthetic/Orthotic Supplier

General Provider Information

NPI Number : 1861704942
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 : 1817 LANGHORNE SQ
Second Line :
City : LYNCHBURG
State : VA
Zip : 24501-1017
Country : US
Telephone Number : 434-455-2930
Fax Number : 434-455-2717
Authorized Official
Title or Position : DIRECTOR
Name : BRADFORD NEIL GARDNER
Credential :
Telephone Number : 615-864-8783
Provider Enumeration Date : 07/06/2010
Last Update Date : 02/16/2026

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Directions to “VIRGINIA PROSTHETICS, INC. ” Practice Location

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