{"npi":"1245288745","type":"NPI-2","status":"active","name":{"display":"Anderson Prosthetics & Orthotics, LLC","other":[],"organization_name":"ANDERSON PROSTHETICS & ORTHOTICS, LLC","authorised_official":"Bradford Gardner"},"specialty":{"primary_taxonomy":"335E00000X","primary_taxonomy_description":"Prosthetic/Orthotic Supplier","slug":"prosthetic-orthotic-supplier","schema_org_specialty":null,"all":[{"code":"335E00000X","description":"Prosthetic/Orthotic Supplier","primary":true,"state":"SC","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1113 N FANT ST","city":"ANDERSON","state":"SC","postal_code":"296214819","country_code":"US","phone":"8642251683","fax":"8642317374"},{"purpose":"MAILING","street_1":"1113 N FANT ST","city":"ANDERSON","state":"SC","postal_code":"296214819","country_code":"US","phone":"8642251683","fax":"8642317374"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"DE1943","state":"SC","issuer":null},{"type_code":"05","label":"Medicaid","value":"00926428A","state":"GA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100930096803","type_code":"30-55","type_desc":"DME SUPPLIER - ORTHOTIC PERSONNEL","state":"SC","pac_id":"3971715186"}]},"enumeration_date":"2006-05-05","last_updated":"2026-05-29","_meta":{"source":"NPPES","snapshot_date":"2026-05-29","doc_url":"https://findmynpi.com/api"}}