NPIMap

Organization Active NPI

Brad McMillin, Inc.

  • Hearing Aid Equipment
  • Alton, IL
National Provider Identifier
1497971501
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
Legal business name
BRAD MCMILLIN, INC.
Practice address
3119 Washington Ave
Alton, IL 62002-5473
Phone
(618) 463-9490
Fax
(618) 463-9491
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Authorized official

Name
Patty McCubbins
Title
Accounts Receivable
Phone
(618) 624-4471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X Primary

Addresses

Primary practice location

3119 Washington Ave
Alton, IL 62002-5473

Mailing address

1415 West Highway 50
O'Fallon, IL 62269
Phone (618) 624-4471

Other identifiers 2

IdentifierTypeStateIssuer
8215212OtherILBLUE CROSS BLUE SHIELD IL
154857OtherMOBLUE CROSS BLUE SHIELD MO

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

Locations

3119 Washington Ave
Alton, IL 62002
Phone (618) 463-9490

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1497971501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 WEST HIGHWAY 50",
            "city": "O'FALLON",
            "state": "IL",
            "postal_code": "62269",
            "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": "3119 WASHINGTON AVE",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025473",
            "telephone_number": "618-463-9490",
            "fax_number": "618-463-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD MCMILLIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "MCCUBBINS",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "618-624-4471"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IL",
            "identifier": "8215212",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MO",
            "identifier": "154857",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beltone Hearing Aid Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.