NPIMap

Brad McMillin, Inc

Organization Active NPI Hearing Aid Equipment · Mount Vernon, IL

NPI 1285850396 · NPPES record last updated Apr 24, 2009

Key facts

NPI
1285850396
Entity type
Organization (NPI type 2)
Primary specialty
Hearing Aid Equipment 332S00000X
Legal business name
BRAD MCMILLIN, INC
Practice address
3307 Broadway St
Suite 160
Mount Vernon, IL 62864-2347
Phone
(618) 242-4901
Fax
(618) 242-2458
NPI assigned
Apr 17, 2007
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 23

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

National Provider Directory

Tax ID family
Beltone Hearing Aid Service (24 organizations share this tax ID)

Locations

3307 Broadway St
Ste 160
Mount Vernon, IL 62864
Phone (618) 242-4901

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X Yes

Addresses

Primary practice location

3307 Broadway St
Suite 160
Mount Vernon, IL 62864-2347

Mailing address

1514 West Highway 50
O'Fallon, IL 62269
Phone (618) 624-4471

Other identifiers

IdentifierTypeStateIssuer
154857OtherMOBC BS OF MISSOURI
8215212OtherILBC BS OF ILLINOIS

Other names

  • Beltone Hearing Aid Service Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 24, 2009.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240531200000",
    "number": "1285850396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 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": "3307 BROADWAY ST",
            "address_2": "SUITE 160",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642347",
            "telephone_number": "618-242-4901",
            "fax_number": "618-242-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD MCMILLIN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "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"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF MISSOURI",
            "identifier": "154857",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF ILLINOIS",
            "identifier": "8215212",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beltone Hearing Aid Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, IL

All providers in Mount Vernon, IL · Hearing Aid Equipment in Illinois

Sources for this page

Verify at the official NPI Registry.