Prosthetic-Orthotic Associates of East Texas, Inc.
NPI 1780624148 · Prosthetic/Orthotic Supplier · Tyler, TX
Enrolled with Medicare as Dme Supplier - Prosthetic Personnel · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prosthetic-Orthotic Associates of East Texas, Inc. is a Prosthetic/Orthotic Supplier organization in Tyler, TX (NPI 1780624148).
Provider details
- NPI number
- 1780624148
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Bruce Mcclellan, President/Owner(903) 592-6574
- License
- 000086 (TX)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 1122 E Front StTyler, TX 75702-8414Phone: (903) 592-6574Fax: (903) 595-3862
Registry dates
- Enumerated
- 2006-06-07
- Last updated
- 2021-07-16
- Certified
- 2021-07-16
Frequently asked questions
- What is Prosthetic-Orthotic Associates of East Texas, Inc.'s NPI number?
- Prosthetic-Orthotic Associates of East Texas, Inc.'s National Provider Identifier (NPI) is 1780624148, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prosthetic-Orthotic Associates of East Texas, Inc.?
- Prosthetic-Orthotic Associates of East Texas, Inc. is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Prosthetic-Orthotic Associates of East Texas, Inc. located?
- Prosthetic-Orthotic Associates of East Texas, Inc.'s practice location on file with NPPES is 1028 E Idel St, Tyler, TX 75701-2024.
- What is Prosthetic-Orthotic Associates of East Texas, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Prosthetic-Orthotic Associates of East Texas, Inc. is (903) 592-6574.
- Does Prosthetic-Orthotic Associates of East Texas, Inc. accept Medicare?
- Prosthetic-Orthotic Associates of East Texas, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Prosthetic-Orthotic Associates of East Texas, Inc.?
- The authorized official listed on Prosthetic-Orthotic Associates of East Texas, Inc.'s NPPES record is Bruce Mcclellan, President/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prosthetic-Orthotic Associates of East Texas, Inc.'s NPI active?
- Yes — Prosthetic-Orthotic Associates of East Texas, Inc.'s NPI (1780624148) is active in the NPPES registry as of the last update on 2021-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.