Broadband Innovation Group
NPI 1720558893 · Prosthetic/Orthotic Supplier · Fayetteville, NC
Broadband Innovation Group is a Prosthetic/Orthotic Supplier organization in Fayetteville, NC (NPI 1720558893).
Provider details
- NPI number
- 1720558893
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Levi Samuels, Vp of Business & Operations(910) 824-2872
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Innovation Hair Clinic
- Doing business as
- Innovation Hair Clinic
Registry dates
- Enumerated
- 2018-11-30
- Last updated
- 2019-02-06
Frequently asked questions
- What is Broadband Innovation Group's NPI number?
- Broadband Innovation Group's National Provider Identifier (NPI) is 1720558893, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broadband Innovation Group?
- Broadband Innovation Group is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Broadband Innovation Group located?
- Broadband Innovation Group's practice location on file with NPPES is 2915 Raeford Rd Ste 203, Fayetteville, NC 28303-5491.
- What is Broadband Innovation Group's phone number?
- The practice phone number listed in the NPPES registry for Broadband Innovation Group is (910) 378-1966.
- Who is the authorized official for Broadband Innovation Group?
- The authorized official listed on Broadband Innovation Group's NPPES record is Levi Samuels, Vp of Business & Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broadband Innovation Group's NPI active?
- Yes — Broadband Innovation Group's NPI (1720558893) is active in the NPPES registry as of the last update on 2019-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.