Individual provider Active NPI

Bradley Smith-Hamblin, HIS

  • Hearing Instrument Specialist
  • Pittsburg, KS
National Provider Identifier
1649042102
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2023034993 Issued in MO
Practice address
2707 N Broadway St Ste a
Pittsburg, KS 66762-2624
Phone
(620) 232-1960
NPI assigned
Oct 26, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 2023034993 MO Primary

Addresses

Primary practice location

2707 N Broadway St Ste a
Pittsburg, KS 66762-2624

Mailing address

2103 Colonial Dr
Pittsburg, KS 66762-3517
Phone (620) 202-2129

Other practice location 1

201 S Lincoln Ave
Chanute, KS 66720-2463
Phone (620) 232-1960

Other practice location 2

910 E San Martin St Ste 9
Bolivar, MO 65613-2893
Phone (620) 232-1960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2023034993MOMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1649042102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 COLONIAL DR",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667623517",
            "telephone_number": "620-202-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 N BROADWAY ST STE A",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667622624",
            "telephone_number": "620-232-1960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 S Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Chanute",
            "state": "KS",
            "postal_code": "667202463",
            "country_code": "US",
            "telephone_number": "620-232-1960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 E San Martin St Ste 9",
            "address_purpose": "LOCATION",
            "city": "Bolivar",
            "state": "MO",
            "postal_code": "656132893",
            "country_code": "US",
            "telephone_number": "620-232-1960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH-HAMBLIN",
        "first_name": "BRADLEY",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MO",
            "license": "2023034993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.