MEDICARE: NEXT STEP BIONICS AND 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	335E00000X	Prosthetic/Orthotic Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	392854	OTHER	MA	BCBS

General Provider Information

NPI Number	:	1871598946
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEXT STEP BIONICS AND PROSTHETICS, INC.

Provider Business Mailing Address
First Line	:	102 WOODMONT BLVD STE 120
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37205-5249
Country	:	US
Telephone Number	:	615-864-8790
Fax Number	:	615-454-5352

Provider Business Practice Location Address
First Line	:	57 CHAPEL ST
Second Line	:	SUITE 101
City	:	NEWTON
State	:	MA
Zip	:	02458-1076
Country	:	US
Telephone Number	:	617-581-6750
Fax Number	:	617-581-6755

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	01/07/2020

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