MEDICARE: AMERICAN BRACE & LIMB ENTERPRISE

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

General Provider Information

NPI Number	:	1942849914
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN BRACE & LIMB ENTERPRISE

Provider Business Mailing Address
First Line	:	PO BOX 3264
Second Line	:
City	:	MORRISTOWN
State	:	TN
Zip	:	37815-3264
Country	:	US
Telephone Number	:	423-318-8824
Fax Number	:	423-318-2872

Provider Business Practice Location Address
First Line	:	9333 PARKWEST BLVD.
Second Line	:	103
City	:	KNOXVILLE
State	:	TN
Zip	:	37923
Country	:	US
Telephone Number	:	423-318-8824
Fax Number	:	423-318-2872

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JERRY DAVID HINTON
Credential	:	BOCO,BOCP,LPED,LPO
Telephone Number	:	423-318-8824

Provider Enumeration Date	:	12/23/2019
Last Update Date	:	12/16/2025

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Directions to “AMERICAN BRACE & LIMB ENTERPRISE ” Practice Location

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