Organization Active NPI

Hogan Medical Equipment, Inc

  • Oxygen Equipment & Supplies (DME)
  • Montgomery, AL
National Provider Identifier
1447251426
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
0206008439 Issued in VA
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6202040000MedicaidWV
009101039MedicaidVA
461711OtherVAANTHEM BC/BS

National Provider Directory

National Provider Directory
Tax ID family
Four Seasons Oxygen Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.