Active NPI
J. J. Hill Brace and Limb Co., Inc.
- Prosthetic/Orthotic Supplier
- Gulfport, MS
National Provider Identifier
1508941220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000011708 | Other | MS | BLUE CROSS BLUE SHIELD |
| 00040510 | Medicaid | MS | |
| 16865400 | Other | MS | US DEPARTMENT OF LABOR |
National Provider Directory
National Provider DirectoryLocations
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.