MEDICARE: BRACING SOLUTIONS, LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7144150001	OTHER	WI	MEDICARE PTAN

General Provider Information

NPI Number	:	1871916635
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRACING SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	7101 N GREEN BAY AVE
Second Line	:	SUITE: 8
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-2800
Country	:	US
Telephone Number	:	414-354-7670
Fax Number	:	888-279-6473

Provider Business Practice Location Address
First Line	:	7101 N GREEN BAY AVE
Second Line	:	SUITE 8
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-2800
Country	:	US
Telephone Number	:	414-354-7670
Fax Number	:	888-279-6473

Authorized Official
Title or Position	:	OWNER
Name	:	ANNA FAYERMAN
Credential	:
Telephone Number	:	414-324-4428

Provider Enumeration Date	:	01/30/2014
Last Update Date	:	02/09/2017

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Directions to “BRACING SOLUTIONS, LLC ” Practice Location

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