Active NPI
Brad L. Hilaman MD PA
- Gynecology Physician
- Southport, NC
National Provider Identifier
1396755518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 95-00936
- Legal business name
- BRAD L. HILAMAN MD PA
- Practice address
- 823 N Atlantic Ave
Southport, NC 28461 - Phone
- (910) 457-9292
- Fax
- (910) 457-5269
- NPI assigned
- Aug 9, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brad L. Hilaman, M.D.
- Title
- President
- Phone
- (910) 457-9292
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 95-00936 | NC | Primary |
Addresses
Primary practice location
823 N Atlantic Ave
Southport, NC 28461
Mailing address
823 N Atlantic Ave
Southport, NC 28461
Phone (910) 457-9292
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8942452 | Medicaid | NC | |
| 89013UJ | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Gynecology Physician
- Southport, NC
- NPI 1255401501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1396755518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "823 N ATLANTIC AVE",
"city": "SOUTHPORT",
"state": "NC",
"postal_code": "28461",
"telephone_number": "910-457-9292",
"fax_number": "910-457-5269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "823 N ATLANTIC AVE",
"city": "SOUTHPORT",
"state": "NC",
"postal_code": "28461",
"telephone_number": "910-457-9292",
"fax_number": "910-457-5269"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAD L. HILAMAN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HILAMAN",
"authorized_official_first_name": "BRAD",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "910-457-9292",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NC",
"license": "95-00936",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8942452",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89013UJ",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southport, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.