Joseph D Hillam MD a Professional Corp

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

1529431205 Issued in UT

Legal business name

JOSEPH D HILLAM MD A PROFESSIONAL CORP

Practice address

990 Medical Dr
Suite U2
Brigham City, UT 84302-4713

Phone

(435) 734-9439

Fax

(435) 723-0267

NPI assigned

Dec 18, 2009

Organization subpart

No

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

Authorized official

Name

Joseph D Hillam, M.D.

Title

Owner/President

Phone

(435) 734-9439

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1558690610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 MEDICAL DRIVE",
            "address_2": "SUITE U2",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843024714",
            "telephone_number": "435-734-9439",
            "fax_number": "435-723-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 MEDICAL DR",
            "address_2": "SUITE U2",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843024713",
            "telephone_number": "435-734-9439",
            "fax_number": "435-723-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH D HILLAM MD A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-18",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "HILLAM",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "435-734-9439",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "UT",
            "license": "1529431205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528620884009",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Korbin Jones
• Kylie Jones
• Nikki Lee Jones
• Riley Jones
• Ryan Read Jones
• Emily Kay Judkins
• Dave Kafton
• Sophia Kartchner
• Adam Kearl
• Bruce Weaver Keller, M.D.

• Surgery Physician in Brigham City, UT
• Providers in Brigham City, UT by specialty
• Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.