Active NPI
Hal Medical O&P
- Durable Medical Equipment & Medical Supplies
- Smyrna, TN
National Provider Identifier
1790227684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 170309
- Legal business name
- HAL MEDICAL O&P
- Practice address
- 713B President PL
Smyrna, TN 37167-5652 - Phone
- (256) 230-2321
- Fax
- (256) 230-2323
- NPI assigned
- Nov 9, 2016
- 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. Jonathan Berryhill, CEO
- Title
- Ceo
- Phone
- (256) 230-2321
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 170309 | AL | Primary |
Addresses
Primary practice location
713B President PL
Smyrna, TN 37167-5652
Mailing address
108 Cloverleaf Dr
Athens, AL 35611-4417
Phone (256) 230-2321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 184706 | Medicaid | AL |
Other names 1
- HaL Medical O&P
National Provider Directory
National Provider Directory- Tax ID family
- Hal Medical Op PC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Birmingham, AL
- NPI 1114404845
-
- Prosthetic/Orthotic Supplier
- Athens, AL
- NPI 1891176517
Locations
713B President Pl
Smyrna, TN 37167
Phone (615) 223-6200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1478736000000",
"number": "1790227684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 CLOVERLEAF DR",
"city": "ATHENS",
"state": "AL",
"postal_code": "356114417",
"telephone_number": "256-230-2321",
"fax_number": "256-230-2323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713B PRESIDENT PL",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371675652",
"telephone_number": "256-230-2321",
"fax_number": "256-230-2323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAL MEDICAL O&P",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-09",
"last_updated": "2016-11-10",
"status": "A",
"authorized_official_last_name": "BERRYHILL",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "256-230-2321",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CEO"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "AL",
"license": "170309",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "184706",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HaL Medical O&P",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Smyrna, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.