Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Broadband Innovation Group

Organization Durable Medical Equipment & Medical Supplies · NPI 1720558893

Broadband Innovation Group is a Durable Medical Equipment & Medical Supplies in Fayetteville, North Carolina. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2

Practice location Address checks out

2915 Raeford Rd Ste 203
Fayetteville, NC 28303-5491
Phone: (910) 378-1966
Fax: (910) 378-1962
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1720558893
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Levi Samuels — Vp Of Business & Operations · (910) 824-2872
Other names Innovation Hair Clinic; Innovation Hair Clinic
NPI enumeratedNovember 30, 2018
Last updated in NPPESFebruary 6, 2019
Mailing address201 Hay St Ste 102, Fayetteville, NC 28301-5581

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