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Active NPI 1841319415 Individual Practitioner Male Practitioner

Jack Booden , CPO

Prosthetist • Norfolk, VA

Professional Overview & Biography Verified Profile Summary

Jack Booden, CPO is a registered healthcare professional specializing in Prosthetist in Norfolk, VA. Practice services are available at 2418 GRANBY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2418 Granby St

Norfolk, VA 235171422

Telephone 7576274191
Fax 7576278709

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Norfolk, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Norfolk, VA (52 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

State License None CPO 00503

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Orthotist

NUCC Taxonomy Code: 222Z00000X

State License None CPO 00503

A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 2418 GRANBY ST, NORFOLK, VA 235171422 (Tel: 7576274191)

📍
Updated Business Mailing Address July 09, 2007

Registered at 2418 GRANBY ST, NORFOLK, VA 235171422 (Tel: 7576274191)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as JACK BOODEN, C.P.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Orthotist (License #CPO 00503 in None)

🟢
Initial NPI Registration & Enumeration March 28, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1841319415
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2007
Last Update: September 11, 2025
Sole Proprietor: No

Mailing Address

2418 Granby St

Norfolk, VA 235171422

Phone: 7576274191

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.