Individual provider Active NPI

Justin Bradley Hill, M.D.

  • Family Medicine Physician
  • Maryville, IL
National Provider Identifier
1477797645
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036144768 Issued in IL
Practice address
2090 Vadalabene Dr
Maryville, IL 62062-5841
Phone
(618) 288-5430
Fax
(618) 288-6857
NPI assigned
Apr 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036144768 IL Primary

Addresses

Primary practice location

2090 Vadalabene Dr
Maryville, IL 62062-5841

Mailing address

6810 State Route 162
Box 215
Maryville, IL 62062-8566
Phone (618) 391-6495

Other practice location 1

610 Texas Blvd
Bethalto, IL 62010-1754
Phone (618) 391-5050

Other names 1

  • Brad Hill Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180814001728 IL Practitioner - Family Practice 4587971486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anderson Medical Group LLCGroup PAC ID 5193792018, 136 clinicians

Practice addresses (Care Compare)

610 Texas Blvd
Bethalto, IL 62010-1754
Phone (618) 391-5050

Hospital & facility affiliations

  • Anderson Home Health Services Home health agency, Maryville, IL, CCN 147420
  • Apollo Medical Home health agency, Saint Louis, MO, CCN 267580
  • Anderson Hospital Hospital, Maryville, IL, CCN 140289
  • Community Hospital of Staunton Hospital, Staunton, IL, CCN 141306
  • Alton Memorial Hospital Hospital, Alton, IL, CCN 140002
  • Memorial Hospital Hospital, Belleville, IL, CCN 140185
  • St Joseph'S Hospital Hospital, Highland, IL, CCN 141336
  • SSM Health Rehabilitation Hospital Inpatient rehabilitation facility, Richmond Heights, MO, CCN 263031
  • Meridian Village Care Center Nursing home, Glen Carbon, IL, CCN 146142

Merit-based Incentive Payment System (MIPS)

Final score
74.76 of 100Reported as group
Quality
54.98
Promoting interoperability
85
Improvement activities
40
Cost
73.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Medical Group, LLC Family Medicine CurrentSince Jul 1, 2021 Accepting new patients

Locations

610 Texas Blvd
Bethalto, IL 62010
Phone (618) 377-7200

6810 State Route 162
Ste 215
Maryville, IL 62062
Phone (618) 391-6405

2090 Vadalabene Dr
Maryville, IL 62062
Phone (618) 288-5430

Organizations & group practices 1

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1477797645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 STATE ROUTE 162",
            "address_2": "BOX 215",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620628566",
            "telephone_number": "618-391-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 VADALABENE DR",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625841",
            "telephone_number": "618-288-5430",
            "fax_number": "618-288-6857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 Texas Blvd",
            "address_purpose": "LOCATION",
            "city": "Bethalto",
            "state": "IL",
            "postal_code": "620101754",
            "country_code": "US",
            "telephone_number": "618-391-5050",
            "fax_number": "618-391-5051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILL",
        "first_name": "JUSTIN",
        "middle_name": "BRADLEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-30",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036144768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRAD",
            "last_name": "HILL",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Maryville, IL

Sources for this page

Verify at the official NPI Registry.