NPIMap

Organization Active NPI

Brad McMillin Inc

Doing business as Beltone Hearing Aid Service

  • Audiologist-Hearing Aid Fitter
  • O'Fallon, IL
National Provider Identifier
1396887063
Registry record updated Dec 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
3184 Issued in IL
Legal business name
BRAD MCMILLIN INC
Doing business as
Beltone Hearing Aid Service
Practice address
1415 W US Highway 50
O Fallon, IL 62269-1618
Phone
(618) 624-4471
Fax
(618) 624-4496
NPI assigned
Feb 12, 2007
Last updated
Dec 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2014

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

Authorized official

Name
Mrs. Patty Lee McCubbins
Title
Act Rec Manager
Phone
(618) 242-4920

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X 2023-7529 IL
Audiologist-Hearing Aid Fitter 237600000X 3184 IL Primary

Addresses

Primary practice location

1415 W US Highway 50
O Fallon, IL 62269-1618

Mailing address

1415 W US Highway 50
O Fallon, IL 62269-1618
Phone (618) 624-4471

Other identifiers 1

IdentifierTypeStateIssuer
8215212OtherILBCBS OF ILLINOIS

Other names 1

  • BELTONE HEARING AID SERVICE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beltone Hearing Aid Service24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419552000000",
    "number": "1396887063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 W US HIGHWAY 50",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691618",
            "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": "1415 W US HIGHWAY 50",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691618",
            "telephone_number": "618-624-4471",
            "fax_number": "618-624-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD MCMILLIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2014-12-26",
        "status": "A",
        "authorized_official_last_name": "MCCUBBINS",
        "authorized_official_first_name": "PATTY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ACT REC MANAGER",
        "authorized_official_telephone_number": "618-242-4920",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "IL",
            "license": "2023-7529",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IL",
            "license": "3184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "8215212",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BELTONE HEARING AID SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in O'Fallon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2014; 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.