Bradley C Jackson

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

2005036116 Issued in MO

Practice address

2969 Highway K
O Fallon, MO 63368-7862

Phone

(636) 379-4691

Fax

(636) 379-4820

NPI assigned

Apr 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Brad McMillin, Inc

  dba Beltone Hearing Aid Service

  • Hearing Aid Equipment
  • O'Fallon, MO
  • NPI 1285850339
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1285854737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 WEST US HIGHWAY 50",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622693014",
            "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": "2969 HIGHWAY K",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687862",
            "telephone_number": "636-379-4691",
            "fax_number": "636-379-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "BRADLEY",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MO",
            "license": "2005036116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iverson-Tomasino Eyecare Inc
• Christina Marie Ivy, FNP-C
• Daniel Jablonski, D.C.
• Jack W. Haney, D.D.S., P.C. (Winghaven Dental)
• Jackson Chiropractic
• Brandon T. Jackson, D.C.
• Garrett Rodney Jackson, D.C.
• Sarah Marie Jackson, DO
• Heidi Kathleen Jacobs, FNP
• Jake Schmitz Chiropractic LLC

• Hearing Instrument Specialist in O'Fallon, MO
• Providers in O'Fallon, MO by specialty
• Hearing Instrument Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.