NPIMap

Organization Active NPI

Ian Bradley Hair Salon LLC

  • Durable Medical Equipment & Medical Supplies
  • Macon, GA
National Provider Identifier
1265158455
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
IAN BRADLEY HAIR SALON LLC
Practice address
3902 Northside Dr Ste A3
Macon, GA 31210-2459
Phone
(478) 845-1210
NPI assigned
Oct 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Authorized official

Name
Melissa R McCoy
Title
Manager
Phone
(478) 714-4302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3902 Northside Dr Ste A3
Macon, GA 31210-2459

Mailing address

3902 Northside Dr Ste A3
Macon, GA 31210-2459
Phone (478) 845-1210

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address service@ianbradleyhair.com

National Provider Directory

National Provider Directory
Tax ID family
Ian Bradley Hair Salon LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1265158455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 NORTHSIDE DR STE A3",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102459",
            "telephone_number": "478-845-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 NORTHSIDE DR STE A3",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102459",
            "telephone_number": "478-845-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IAN BRADLEY HAIR SALON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "478-714-4302"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "service@ianbradleyhair.com",
            "affiliation": "N",
            "address_1": "3902 Northside Dr Ste A3",
            "city": "Macon",
            "state": "GA",
            "country_code": "US",
            "postal_code": "312102459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.