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The Dothan Brace Shop

Details

Name: The Dothan Brace Shop
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 04 Aug 1967 (57 years ago) (Companies founded in August 1967)
Entity Number: 000-006-066
Register Number: 000006066
Place of Formation: Houston County
Principal Address: DOTHAN, AL
Authorized Capital: $3,000
Paid Share Capital: $3,000

Activities BRACE WORK

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730189028 2005-07-28 2012-09-05 1240 E MAIN ST, DOTHAN, AL, 363011732, US 1240 E MAIN ST, DOTHAN, AL, 363011732, US

Contacts
Phone +1 334-792-4330
Fax 3347946741

Authorized person
Name MR. WILLIS H SMITHERMAN
Role PRESIDENT
Phone 3347924330

Taxonomy
Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
License Number 172
State AL
Is Primary Yes
Taxonomy Code 335E00000X - Prosthetic/Orthotic Supplier
License Number 001
State AL
Is Primary No

Other Provider Identifiers
Issuer MEDICAID
Number 000040862B
State GA
Issuer MEDICAID
Number 000040862A
State GA
Issuer MEDICAID
Number 000050220
State AL
Issuer BCBS
Number 51050220

Incorporator

Name Role
BOTTOMS, JAMES F JR Incorporator
BOTTOMS, ROBERT C Incorporator
HAMIL, T R Incorporator

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PO AWARD DJBMNAJVB130270 2010-06-01 2010-09-07 2010-09-30
Unique Award Key CONT_AWD_DJBMNAJVB130270_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Description
Title ORTHOPEDIC & PROSTHETIC SHOES AND DEVICES INCLUDING KNEE CONROL FULL KNEECAP, ORTHOPEDIC SHOES, SHOE LIFT, KNEE JOINT RATCHET LOCK, SOCKET INSERT.
NAICS Code 446199: ALL OTHER HEALTH AND PERSONAL CARE STORES
Product and Service Codes 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP

Recipient Details
Recipient DOTHAN BRACE SHOP, INC.
UEI J1MFN7LLHLF5
Legacy DUNS 046474425
Recipient Address UNITED STATES, 1240 E MAIN ST, DOTHAN, 363011732
PO AWARD DJBMNAJVB130378 2010-05-03 2010-09-07 2010-09-30
Unique Award Key CONT_AWD_DJBMNAJVB130378_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Description
Title ORTHOPEDIC & PROSTHETIC SHOES AND DEVICES INCLUDING SHOE LIFTS, ORTHOTIC SHOES, METATARSAL SUPPORT, ANKLE GAUNTLET, ANKLE BRACE,
NAICS Code 446199: ALL OTHER HEALTH AND PERSONAL CARE STORES
Product and Service Codes 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP

Recipient Details
Recipient DOTHAN BRACE SHOP, INC.
UEI J1MFN7LLHLF5
Legacy DUNS 046474425
Recipient Address UNITED STATES, 1240 E MAIN ST, DOTHAN, 363011732
PO AWARD DJBMNAIVB130289 2009-09-11 2009-09-14 2009-09-30
Unique Award Key CONT_AWD_DJBMNAIVB130289_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Description
Title BRACING FOR UPPER LEG, KNEE AND LOWER LEG
NAICS Code 621999: ALL OTHER MISCELLANEOUS AMBULATORY HEALTH CARE SERVICES
Product and Service Codes 9330: PLASTICS FABRICATED MATERIALS

Recipient Details
Recipient DOTHAN BRACE SHOP, INC.
UEI J1MFN7LLHLF5
Legacy DUNS 046474425
Recipient Address UNITED STATES, 1240 E MAIN ST, DOTHAN, 363011732
No data IDV VA247P0911 2009-04-01 No data No data
Unique Award Key CONT_IDV_VA247P0911_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 0.00
Potential Award Amount 0.00

Description
Title ARTIFICAL LIMBS
NAICS Code 621399: OFFICES OF ALL OTHER MISCELLANEOUS HEALTH PRACTITIONERS
Product and Service Codes 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP

Recipient Details
Recipient DOTHAN BRACE SHOP, INC.
UEI J1MFN7LLHLF5
Recipient Address UNITED STATES, 1240 E MAIN ST, DOTHAN, HOUSTON, ALABAMA, 363011732
PO AWARD V520PROSFY08046474425 2008-09-07 2008-09-07 2008-09-07
Unique Award Key CONT_AWD_V520PROSFY08046474425_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title PROSTHETICS EXPRESS REPORT FY 08
NAICS Code 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product and Service Codes J065: MAINT-REP OF MEDICAL-DENTAL-VET EQ

Recipient Details
Recipient DOTHAN BRACE SHOP, INC.
UEI J1MFN7LLHLF5
Legacy DUNS 046474425
Recipient Address UNITED STATES, 1240 E MAIN ST, DOTHAN, 363011732
DCA AWARD VA256P0409 2008-08-29 2008-12-31 2012-12-31
Unique Award Key CONT_AWD_VA256P0409_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title ARTIFICIAL LIMBS AND RELATED SERVICES
NAICS Code 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product and Service Codes Q513: ORTHOPEDIC SERVICES

Recipient Details
Recipient DOTHAN BRACE SHOP, INC.
UEI J1MFN7LLHLF5
Legacy DUNS 046474425
Recipient Address UNITED STATES, 1240 E MAIN ST, DOTHAN, 363011732
PO AWARD V573PROSFY08046474425 2007-10-26 2008-08-05 2008-08-05
Unique Award Key CONT_AWD_V573PROSFY08046474425_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title PROSTHETICS EXPRESS REPORT FY 08
NAICS Code 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product and Service Codes J065: MAINT-REP OF MEDICAL-DENTAL-VET EQ

Recipient Details
Recipient DOTHAN BRACE SHOP, INC.
UEI J1MFN7LLHLF5
Legacy DUNS 046474425
Recipient Address UNITED STATES, 1240 E MAIN ST, DOTHAN, 363011732
PO AWARD V521PROSFY08046474425 2007-10-19 2008-09-05 2008-09-05
Unique Award Key CONT_AWD_V521PROSFY08046474425_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title PROSTHETICS EXPRESS REPORT FY 08
NAICS Code 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product and Service Codes J065: MAINT-REP OF MEDICAL-DENTAL-VET EQ

Recipient Details
Recipient DOTHAN BRACE SHOP, INC.
UEI J1MFN7LLHLF5
Legacy DUNS 046474425
Recipient Address UNITED STATES, 1240 E MAIN ST, DOTHAN, 363011732
PO AWARD V509PROSFY08046474425 2007-10-02 2008-08-01 2008-08-01
Unique Award Key CONT_AWD_V509PROSFY08046474425_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title PROSTHETICS EXPRESS REPORT FY 08
NAICS Code 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product and Service Codes J065: MAINT-REP OF MEDICAL-DENTAL-VET EQ

Recipient Details
Recipient DOTHAN BRACE SHOP, INC.
UEI J1MFN7LLHLF5
Legacy DUNS 046474425
Recipient Address UNITED STATES, 1240 E MAIN ST, DOTHAN, 363011732
PO AWARD V619PROSFY08046474425 2007-10-01 2008-09-25 2008-09-25
Unique Award Key CONT_AWD_V619PROSFY08046474425_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title PROSTHETICS EXPRESS REPORT FY 08
NAICS Code 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product and Service Codes J065: MAINT-REP OF MEDICAL-DENTAL-VET EQ

Recipient Details
Recipient DOTHAN BRACE SHOP, INC.
UEI J1MFN7LLHLF5
Legacy DUNS 046474425
Recipient Address UNITED STATES, 1240 E MAIN ST, DOTHAN, 363011732

Related by officers

BOTTOMS, ROBERT C

East Gate Pharmacy, Incorporated PCMC, Incorporated, a close corporation

Related by address

DOTHAN, AL

A & M Electrical Construction Co., Inc. Acme Auction Company of Dothan, Inc. Acme Lease-A-Car, Inc. Acme Roofing and Sheet Metal Company, Inc. Adams Foods, Inc. Adams Trading Center Alabama Electric Company, Inc. of Dothan Art & Craft Hut, Inc. Southeastern Cabinet Co., Inc. Auto Electric Company of Alabama, Incorporated

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State

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