NPIMap

Organization Active NPI

Brad McMillin Inc

Doing business as Beltone Hearing Aid Service

  • Hearing Aid Equipment
  • Granite City, IL
National Provider Identifier
1043466790
Registry record updated Apr 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
IL 2792 Issued in IL
Legal business name
BRAD MCMILLIN INC
Doing business as
Beltone Hearing Aid Service
Practice address
3142 Nameoki Rd
Granite City, IL 62040-5013
Phone
(618) 451-1900
Fax
(618) 451-1918
NPI assigned
Aug 13, 2008
Last updated
Apr 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Patty L McCubbins
Title
Accounts Receivable
Phone
(618) 624-4471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X IL 2792 IL Primary

Addresses

Primary practice location

3142 Nameoki Rd
Granite City, IL 62040-5013

Mailing address

1415 West Highway 50
O'Fallon, IL 62269
Phone (618) 624-4471

Other identifiers 1

IdentifierTypeStateIssuer
8215212OtherILBLUE CROSS BLUESHIELD OF IL

Other names 1

  • BELTONE HEARING AID SERVICE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beltone Hearing Aid Service24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Locations

3142 Nameoki Rd
Granite City, IL 62040
Phone (618) 451-1900

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240531200000",
    "number": "1043466790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 WEST HIGHWAY 50",
            "city": "O'FALLON",
            "state": "IL",
            "postal_code": "62269",
            "telephone_number": "618-624-4471",
            "fax_number": "618-624-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3142 NAMEOKI RD",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620405013",
            "telephone_number": "618-451-1900",
            "fax_number": "618-451-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD MCMILLIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2009-04-24",
        "status": "A",
        "authorized_official_last_name": "MCCUBBINS",
        "authorized_official_first_name": "PATTY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "618-624-4471",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "IL",
            "license": "IL 2792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUESHIELD OF IL",
            "identifier": "8215212",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BELTONE HEARING AID SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Granite City, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.