Randy Hale

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Practice address

4429 S River Blvd Ste BC
Independence, MO 64055-4659

Phone

(816) 768-0090

Fax

(816) 912-1739

NPI assigned

Jun 13, 2022

Sex

Male

Sole proprietor

Yes

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

Practice roles

Locations

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.

• Bridgeway Clinics LLC

  • Clinic/Center
  • Independence, MO
  • NPI 1609510809
  NPD

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1467182550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4429 S RIVER BLVD STE BC",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640554659",
            "telephone_number": "816-768-0090",
            "fax_number": "816-912-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4429 S RIVER BLVD STE BC",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640554659",
            "telephone_number": "816-768-0090",
            "fax_number": "816-912-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "RANDY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GVC Chiropractic of Independence, LLC
• Rachael Anne Hackler, LMSW
• Matthew B Hagerty, DDS
• Kent L Haggard, M.D.
• Jason Hahn, M.D.
• Sheila Hale
• Sarah Cason Hall, APRN
• Timothy Allen Hall, M.D.
• Shannon Leigh Hallgrimson
• Lauren Ashley Hamilton, MS.ED., LPC

• Clinic/Center in Independence, MO
• Providers in Independence, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.