Active NPI
Hogan Medical Equipment, Inc
- Oxygen Equipment & Supplies (DME)
- Montgomery, AL
National Provider Identifier
1447251426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 0206008439
- Legal business name
- HOGAN MEDICAL EQUIPMENT, INC
- Practice address
- 500 Interstate Park Dr Ste 534
Montgomery, AL 36109-5434 - Phone
- (334) 777-1274
- NPI assigned
- Aug 2, 2005
- Last updated
- Nov 2, 2018
- 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
- Mr. Brian Humphrey
- Title
- Ceo
- Phone
- (818) 517-8743
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 0206008439 | VA | Primary |
Addresses
Primary practice location
500 Interstate Park Dr Ste 534
Montgomery, AL 36109-5434
Mailing address
500 Interstate Park Dr
Montgomery, AL 36109-5429
Phone (334) 777-1274
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6202040000 | Medicaid | WV | |
| 009101039 | Medicaid | VA | |
| 461711 | Other | VA | ANTHEM BC/BS |
National Provider Directory
National Provider Directory- Tax ID family
- Four Seasons Oxygen Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Boca Raton, FL
- NPI 1235623893
Locations
500 Interstate Park Dr
Montgomery, AL 36109
500 Interstate Park Dr
Ste 534
Montgomery, AL 36109
Phone (334) 777-1274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1541116800000",
"number": "1447251426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 INTERSTATE PARK DR",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361095429",
"telephone_number": "334-777-1274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 INTERSTATE PARK DR STE 534",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361095434",
"telephone_number": "334-777-1274"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOGAN MEDICAL EQUIPMENT, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-02",
"last_updated": "2018-11-02",
"status": "A",
"authorized_official_last_name": "HUMPHREY",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-517-8743",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "VA",
"license": "0206008439",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6202040000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009101039",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "461711",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.