{
  "npi": "1992132864",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "BRADFORD",
    "authorized_official_last_name": "GARDNER",
    "authorized_official_middle_name": "NEIL",
    "authorized_official_telephone_number": "6158648783",
    "authorized_official_title_or_position": "Director",
    "certification_date": "2026-04-16",
    "enumeration_date": "2013-10-08",
    "last_updated": "2026-04-16",
    "organization_name": "ALABAMA ARTIFICIAL LIMB & ORTHOPEDIC SERVICE, INC.",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "102 WOODMONT BLVD STE 120",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "NASHVILLE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "372055249",
      "state": "TN",
      "telephone_number": "615-550-8774"
    },
    {
      "address_1": "1240 E MAIN ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "DOTHAN",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "363011732",
      "state": "AL",
      "telephone_number": "334-699-5462"
    }
  ],
  "taxonomies": [
    {
      "code": "335E00000X",
      "desc": "Prosthetic/Orthotic Supplier",
      "license": "19",
      "primary": true,
      "state": "AL",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Suppliers — Prosthetic — Orthotic Supplier",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "51",
        "medicare_type": "Medical Supply Company with Orthotist"
      },
      {
        "medicare_code": "52",
        "medicare_type": "Medical Supply Company with Prosthetist"
      },
      {
        "medicare_code": "53",
        "medicare_type": "Medical Supply Company with Orthotist-Prosthetist"
      }
    ]
  }
}