Individual provider Active NPI

Brian Christopher George, HIS

  • Hearing Instrument Specialist
  • Mount Vernon, MO
National Provider Identifier
1811243181
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2012010175 Issued in MO
Practice address
1050 W Hayward Dr
Mount Vernon, MO 65712-6329
Phone
(417) 466-7184
Fax
(417) 466-4081
NPI assigned
Jul 24, 2012
Last updated
Jul 24, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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 2012010175 MO Primary

Addresses

Primary practice location

1050 W Hayward Dr
Mount Vernon, MO 65712-6329

Mailing address

1050 W Hayward Dr
Mount Vernon, MO 65712-6329
Phone (417) 466-7184

Other identifiers 1

IdentifierTypeStateIssuer
2012010175OtherMOHIS

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
2012010175MOMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid - America Hearing Center, Inc Hearing Instrument Specialist Past Accepting new patients
J. Warren Hildreth, Jr DDS PC of Missouri Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1811243181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 W HAYWARD DR",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657126329",
            "telephone_number": "417-466-7184",
            "fax_number": "417-466-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W HAYWARD DR",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657126329",
            "telephone_number": "417-466-7184",
            "fax_number": "417-466-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "BRIAN",
        "middle_name": "CHRISTOPHER",
        "credential": "HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MO",
            "license": "2012010175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIS",
            "identifier": "2012010175",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.