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NPI Code Detail

MEDICARE: BULOW BIOTECH PROSTHETICS, LLC

MEDICARE: BULOW BIOTECH PROSTHETICS, 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
1335E00000XProsthetic/Orthotic Supplier

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942477344
Entity Type Code : Organization
Provider Name (Legal Business Name) : BULOW BIOTECH PROSTHETICS, LLC
Provider Business Mailing Address
First Line : 102 WOODMONT BLVD STE 400
Second Line :
City : NASHVILLE
State : TN
Zip : 37205-5217
Country : US
Telephone Number : 615-864-8788
Fax Number : 615-454-5352
Provider Business Practice Location Address
First Line : 6736 CHARLOTTE PIKE STE 101
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-4290
Country : US
Telephone Number : 615-712-7261
Fax Number : 615-712-7264
Authorized Official
Title or Position : COO
Name : BRADFORD NEIL GARDNER
Credential :
Telephone Number : 615-864-8783
Provider Enumeration Date : 05/14/2008
Last Update Date : 04/16/2026

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Directions to “BULOW BIOTECH PROSTHETICS, LLC ” Practice Location

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