Individual provider Active NPI

Bradley Shields Hilliker, CPO

  • Prosthetist
  • Decatur, AL
National Provider Identifier
1265664288
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
170 Issued in AL
Practice address
717 Highway 67 South
Suite 10
Decatur, AL 35603-6314
Phone
(256) 353-7175
NPI assigned
Aug 10, 2009
Last updated
Apr 5, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X 170 AL Primary

Addresses

Primary practice location

717 Highway 67 South
Suite 10
Decatur, AL 35603-6314

Mailing address

717 Highway 67 South
Suite 10
Decatur, AL 35603-6314
Phone (256) 353-7175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
170ALMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Crosswalk Prosthetics Inc Current Accepting new patients

Locations

717 Highway 67 S
Ste 10
Decatur, AL 35603
Phone (256) 353-7175

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1265664288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 HIGHWAY 67 SOUTH",
            "address_2": "SUITE 10",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356036314",
            "telephone_number": "256-353-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 HIGHWAY 67 SOUTH",
            "address_2": "SUITE 10",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356036314",
            "telephone_number": "256-353-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLIKER",
        "first_name": "BRADLEY",
        "middle_name": "SHIELDS",
        "credential": "CPO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-10",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "AL",
            "license": "170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.