MOUNTAIN BRACE SYSTEMS
NPI 1821436718
Durable Medical Equipment & Medical Supplies - Customized Equipment in Boise, ID
NPI Status: Active since June 13, 2013
Contact Information
248 S COLE RD
BLDG #7
BOISE, ID
ZIP 83709
Phone: (208) 350-3092
Fax: (208) 901-8185
- Organization
- Durable Medical Equipment & Medical Supp...
- Customized Equipment
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
About MOUNTAIN BRACE SYSTEMS
This page provides the complete NPI Profile along with additional information for Mountain Brace Systems, a provider established in Boise, Idaho operating as a Durable Medical Equipment & Medical Supplies, focusing in customized equipment . The healthcare provider is registered in the NPI registry with number 1821436718 assigned on June 2013. The practitioner's primary taxonomy code is 332BC3200X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Mountain Brace Systems. The authorized official of this NPI record is Mr. Jake Kent Kinghorn Co-f (Owner)
- NPI
- 1821436718
- Provider Legal Name
- KINGHORN MEDICAL LLC
- Other Organization Name
- MOUNTAIN BRACE SYSTEMS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 248 S COLE RD BLDG #7 BOISE, ID 83709
- Location Phone
- (208) 350-3092
- Location Fax
- (208) 901-8185
- Mailing Address
- 248 S COLE RD BLDG #7 BOISE, ID 83709
- Mailing Phone
- (208) 350-3092
- Mailing Fax
- (208) 901-8185
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-13-2013
- Last Update Date
- 09-20-2024
- Code Navigator
Mountain Brace Systems is a medicare supplier with PTAN 20481083 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Continuous Passive Motion (CPM) Devices or Heat & Cold Applications or Neuromuscular Elect Stimulators (NMES)/Supplies or Osteogenesis Stimulators or Pneumatic Compression Devices and/or Supplies or Traction Equipment or (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies or Canes and/or Crutches or Walkers or Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Neurostimulators and/or Supplies.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Durable Medical Equipment & Medical Supplies Customized Equipment
- Taxonomy Code
- 332BC3200X
- Type
- Suppliers
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Health Affinity Bronze 7750 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Connect Bronze Expanded Standard - PPO
- Connect Bronze HDHP - PPO
- Connect Catastrophic - PPO
- Connect Gold - PPO
- Connect Gold Standard - PPO
- Connect Silver - PPO
- Connect Silver Standard - PPO
- High Plains Bronze HDHP - PPO
- High Plains Bronze Standard Expanded - PPO
- High Plains Gold - PPO
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- Healthy Premier Bronze HSA - EPO
- Healthy Premier Expanded Bronze Standard - EPO
- Healthy Premier Gold Copay - EPO
- Healthy Premier Gold Standard - EPO
- Healthy Premier Silver Copay - EPO
- Healthy Premier Silver Standard - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| IDTPID009228 | MEDICAID (05) | ID |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20481083
- Accepts Medicare Assignment
- YES
- Specialities List
- Medical Supply Company Other, Orthotic Personnel.
- Competitive Bidding
- NO
Supplies List
- Continuous Passive Motion (CPM) Devices - Knee CPM machines, Shoulder CPM machines, Hand & wrist CPM machines
- Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
- Neuromuscular Elect Stimulators (NMES)/Supplies - Electrodes, lead wires, adhesive tape
- Osteogenesis Stimulators - Non-spinal electrical osteogenesis stimulators, Spinal electrical osteogenesis stimulators, Ultrasonic osteogenesis stimulators
- Pneumatic Compression Devices and/or Supplies - Pnuematic compressor, Arm pneumatic appliance, Leg pneumatic appliance
- Traction Equipment - Traction tables, Traction machines, Inversion tables
- (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies - Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
- Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
- Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
- Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
- Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
- Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
- Neurostimulators and/or Supplies - Rechargable neurostimulators, Non-rechargable neurostimulators
Reviews for MOUNTAIN BRACE SYSTEMS
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 2 | 1 | 4 | 3 | 6 | 7 | 1 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 4 | 1 | 8 | 3 | 12 | 7 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 4 + 1 + 8 + 3 + 1 + 2 + 7 + 2 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1821436718 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821436718, enumerated in the NPI registry as an "organization" on June 13, 2013
The provider is located at 248 S Cole Rd Bldg #7 Boise, Id 83709 and the phone number is (208) 350-3092
This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332BC3200X with a focus in Customized Equipment
The provider might be accepting Accepts: Moda Health Plan, Inc., Mountain Health CO-OP,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 13, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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