Gallup Limb and Brace Co Inc
NPI 1114002219ActiveOrganization· Prosthetist· Gallup, NM
Prosthetist in Gallup, New Mexico, registered in NPPES in October 2006. The authorized official on file is Justin Marshall, ABC COA, President/Owner. Enrolled in Medicare as dme supplier - orthotic personnel.
Overview
| NPI | 1114002219 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 26, 2006 |
| Last updated in NPPES | Jan 25, 2024 |
| Certified by provider | Sep 7, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Prosthetist Primary | 224P00000X | CP002174 | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Orthotic Personnel (NM) |
|---|