IndividualActive
Bruce O'Brien, CPO
NPI 1073698577 · Prosthetic/Orthotic Supplier · Calhoun, GA
Provider details
- NPI number
- 1073698577
- Entity type
- Individual
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Credential
- CPO
- Sex
- Male
- Sole proprietor
- Yes
- License
- 000011 (GA)
Mailing address
611 Lovinggood Trl
Woodstock, GA 30189-7413
Registry dates
- Enumerated
- 2006-10-25
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.