Organization Active NPI

J. J. Hill Brace and Limb Co., Inc.

  • Prosthetic/Orthotic Supplier
  • Gulfport, MS
National Provider Identifier
1508941220
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
J. J. HILL BRACE AND LIMB CO., INC.
Practice address
1619 Broad Ave
Gulfport, MS 39501-3604
Phone
(228) 863-0381
Fax
(228) 863-2784
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Authorized official

Name
Mr. Lawrence Allen Hill, C.P., BOCOP, C. PED
Title
President
Phone
(228) 863-0381

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1619 Broad Ave
Gulfport, MS 39501-3604

Mailing address

1619 Broad Ave
Gulfport, MS 39501-3604
Phone (228) 863-0381

Other identifiers 3

IdentifierTypeStateIssuer
000011708OtherMSBLUE CROSS BLUE SHIELD
00040510MedicaidMS
16865400OtherMSUS DEPARTMENT OF LABOR

National Provider Directory

National Provider Directory

Locations

1619 Broad Ave
Gulfport, MS 39501
Phone (228) 863-0381

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1508941220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 BROAD AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395013604",
            "telephone_number": "228-863-0381",
            "fax_number": "228-863-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 BROAD AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395013604",
            "telephone_number": "228-863-0381",
            "fax_number": "228-863-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. J. HILL BRACE AND LIMB CO., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "228-863-0381",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P., BOCOP, C. PED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000011708",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00040510",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPARTMENT OF LABOR",
            "identifier": "16865400",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.