OrganizationActive
Steven G Mccullough
NPI 1932363751 · Prosthetic/Orthotic Supplier · Tyler, TX
Steven G Mccullough is a Prosthetic/Orthotic Supplier organization in Tyler, TX (NPI 1932363751).
Provider details
- NPI number
- 1932363751
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Steven Mccullough, Owner(903) 592-5900
- License
- 101171 (TX)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
1120 Medical Dr
Tyler, TX 75701-2109
Phone: (903) 592-5900
Fax: (903) 592-6683
Street-level locationGet directions
Mailing address
1110 Medical Dr
Tyler, TX 75701-2109
Other names (DBA / former)
- Doing business as
- Custom Care Orthopedic Bracing LLC
Registry dates
- Enumerated
- 2008-07-10
- Last updated
- 2008-07-10
Frequently asked questions
- What is Steven G Mccullough's NPI number?
- Steven G Mccullough's National Provider Identifier (NPI) is 1932363751, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Steven G Mccullough?
- Steven G Mccullough is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Steven G Mccullough located?
- Steven G Mccullough's practice location on file with NPPES is 1120 Medical Dr, Tyler, TX 75701-2109.
- What is Steven G Mccullough's phone number?
- The practice phone number listed in the NPPES registry for Steven G Mccullough is (903) 592-5900.
- Who is the authorized official for Steven G Mccullough?
- The authorized official listed on Steven G Mccullough's NPPES record is Steven Mccullough, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Steven G Mccullough's NPI active?
- Yes — Steven G Mccullough's NPI (1932363751) is active in the NPPES registry as of the last update on 2008-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.