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Baker O & P Enterprises, Inc. — NPI 1851012249, Longview, TX | NPI Central

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NPI 1851012249

OrganizationActive

Baker O & P Enterprises, Inc.

NPI 1851012249 · Prosthetic/Orthotic Supplier · Longview, TX

Provider details

NPI number: 1851012249
Entity type: Organization
Primary specialty: Prosthetic/Orthotic SupplierSuppliers
Organization subpart: No
Authorized official: Bradford Gardner, Coo(615) 864-8783

Specialties & taxonomies

Prosthetic/Orthotic SupplierPrimary335E00000X
Suppliers

Practice location

905 Walnut Hill Dr Ste a

Longview, TX 75605-5082

Phone: (903) 213-5960

Approximate (ZIP-level) locationGet directions

More TX providers

Mailing address

102 Woodmont Blvd Ste 400

Nashville, TN 37205-5217

Other names (DBA / former)

Doing business as: Baker Orthotics & Prosthetics
Doing business as: Formotion Clinic

Registry dates

Enumerated: 2022-09-06
Last updated: 2026-05-14
Certified: 2026-05-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.