NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Victory Orthotics & Prosthetics LLC

Prosthetic/Orthotic Supplier in Johnson City, TN · enumerated 2006 · authorized official Brad Gardner, Coo.

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

National Provider Identifier

1457443624

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Victory Orthotics & Prosthetics LLC
Practice address 2333 Knob Creek Rd Ste 14, Johnson City, TN, 37604
Enumeration date Sep 28, 2006
Last updated in NPPES Oct 3, 2018

Taxonomy & classification

335E00000X Prosthetic/Orthotic Supplier Suppliers Primary

Authorized official

Name Brad Gardner
Title Coo

Other identifiers

Identifier Type State Issuer
9190601 Medicaid VA -
1454184 Medicaid TN -
4017529 Other TN BCBSTN

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.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Victory Orthotics & Prosthetics LLC?
The NPI for Victory Orthotics & Prosthetics LLC is 1457443624, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Victory Orthotics & Prosthetics LLC?
NPPES lists Brad Gardner (Coo) as the authorized official for this organization.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-10-03.