Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Custom Brace Shop Inc.

Durable Medical Equipment & Medical Supplies in Galesburg, IL · enumerated 2006 · authorized official Fakhry Azer, President /Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306865563

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Registry record

Entity type Organization (Type 2)

Legal business name Custom Brace Shop Inc.

Practice address 872 W Dayton St, Galesburg, IL, 61401

Phone (309) 344-5330

Fax (309) 344-5040

Enumeration date Jul 19, 2006

Last updated in NPPES Jul 11, 2008

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Primary

Authorized official

Name Fakhry Azer

Title President /Owner

Phone (309) 344-3400

Other identifiers

Identifier	Type	State	Issuer
30404878	Other	IL	CERTIFICATE OF REGISTRATI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-07-11. Verify at npiregistry.cms.hhs.gov.

Where is Custom Brace Shop Inc. located?

The practice location on file with NPPES is in Galesburg, IL.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-07-11.