Boland Prosthetic & Orthotic Center Llc
Prosthetic/orthotic Supplier
110 Osigian Blvd., Warner Robins
Georgia, 31088
478-953-2922 478-953-2927
Boland Prosthetic & Orthotic Center Llc is an authorized DME supplier for medicare equipment and products.Boland Prosthetic & Orthotic Center Llc is a Prosthetic/orthotic Supplier in Warner Robins, Georgia. It is located at 110 Osigian Blvd., Warner Robins and it's customer support contact number is 478-953-2922. The authorized person of Boland Prosthetic & Orthotic Center Llc is Mr. Paul A Boland, CPO who is Owner, Orthotist/prosthetist of this DME and his contact number is 478-953-2922. Active license number of Boland Prosthetic & Orthotic Center Llc is NO STATE LICENSURE for Prosthetic/orthotic Supplier in Georgia. Boland Prosthetic & Orthotic Center Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Boland Prosthetic & Orthotic Center Llc is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
DME Supplier Details:
Boland Prosthetic & Orthotic Center Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Boland Prosthetic & Orthotic Center Llc |
| Type: | Prosthetic/orthotic Supplier |
| Location: | 110 Osigian Blvd., Warner Robins, Georgia, 31088 |
| Phone: | 478-953-2922 |
| Fax: | 478-953-2927 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Paul A Boland |
| Credentials: | CPO |
| Position: | Owner, Orthotist/prosthetist |
| Contact Number: | 478-953-2922 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1164419743 |
| NPI Enumeration Date: | 29 Sep, 2005 |
| NPI Last Update On: | 21 Apr, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Boland Prosthetic & Orthotic Center Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Prosthetic/orthotic Supplier | NO STATE LICENSURE | Georgia | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 00820751A | Medicaid | Georgia | |
| 00820751B | Medicaid | Georgia | |
Medicare Enrollment:
Boland Prosthetic & Orthotic Center Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5890816334 | O20100930045680 | Boland Prosthetic & Orthotic Center Llc | DME SUPPLIER - MEDICAL SUPPLY COMPANY WITH ORTHOTIC-PROSTHETIC |
Products Available:
Boland Prosthetic & Orthotic Center Llc has following products available for sale under medicare.
| Products: |
|---|
| • Breast Prostheses & Accessories | • Diabetic Shoes & Inserts: Custom Fabricated |
| • Diabetic Shoes & Inserts: Prefabricated | • Limb Prostheses |
| • Orthoses: Custom Fabricated | • Orthoses: Off-the-shelf |
| • Orthoses: Prefabricated | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 110 Osigian Blvd., Warner Robins, Georgia |
| Zip: | 31088 |
| Phone Number: | 478-953-2922 |
| Fax Number: | 478-953-2927 |
Patients can reach Boland Prosthetic & Orthotic Center Llc at
110 Osigian Blvd., Warner Robins, Georgia or can
call on customer care at 478-953-2922.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.