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Victory Orthotics & Prosthetics LLC

Prosthetic/Orthotic Supplier in Kingsport, TN · enumerated 2009 · authorized official Brad Gardner, Coo.

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

National Provider Identifier

1891935763

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Registry record

Entity type Organization (Type 2)
Legal business name Victory Orthotics & Prosthetics LLC
Practice address 2 Sheridan Sq, Suite 100, Kingsport, TN, 37660
Phone (423) 378-3320
Fax (423) 378-3363
Enumeration date Mar 4, 2009
Last updated in NPPES Oct 3, 2018

Taxonomy & classification

335E00000X Prosthetic/Orthotic Supplier Suppliers Primary

Authorized official

Name Brad Gardner
Title Coo
Phone (615) 864-8790

Other identifiers

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

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

What type of organization is Victory Orthotics & Prosthetics LLC?
Victory Orthotics & Prosthetics LLC is registered in NPPES as a Prosthetic/Orthotic Supplier (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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