Organization Active NPI

Hal Medical O&P, PC

  • Prosthetic/Orthotic Supplier
  • Athens, AL
National Provider Identifier
1891176517
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
612 Issued in AL
Legal business name
HAL MEDICAL O&P, PC
Practice address
22923 US Highway 72 Ste a
Athens, AL 35613-7618
Phone
(256) 230-2321
Fax
(256) 444-4422
NPI assigned
Jun 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Authorized official

Name
Mr. Jonathan Richard Berryhill
Title
Ceo
Phone
(256) 444-4740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 612 AL Primary

Addresses

Primary practice location

22923 US Highway 72 Ste a
Athens, AL 35613-7618

Mailing address

2245 County Road 93
Anderson, AL 35610-4125
Phone (256) 444-4740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160122001843 AL DME Supplier - Medical Supply Company 9537462601 Practice locations: Rogersville, AL

National Provider Directory

National Provider Directory
Tax ID family
Hal Medical Op PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

22923 US Highway 72
Ste A
Athens, AL 35613
Phone (256) 230-2321

108 Cloverleaf Dr
Athens, AL 35611
Phone (256) 230-2321

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1891176517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 COUNTY ROAD 93",
            "city": "ANDERSON",
            "state": "AL",
            "postal_code": "356104125",
            "telephone_number": "256-444-4740",
            "fax_number": "256-230-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22923 US HIGHWAY 72 STE A",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356137618",
            "telephone_number": "256-230-2321",
            "fax_number": "256-444-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAL MEDICAL O&P, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "BERRYHILL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-444-4740",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "AL",
            "license": "612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.