Active NPI
Hal Medical O&P, PC
- Prosthetic/Orthotic Supplier
- Athens, AL
National Provider Identifier
1891176517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 612
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160122001843 | AL | DME Supplier - Medical Supply Company | 9537462601 | Practice locations: Rogersville, AL |
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
-
- Durable Medical Equipment & Medical Supplies
- Smyrna, TN
- NPI 1790227684
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.
-
- Durable Medical Equipment & Medical Supplies
- Birmingham, AL
- NPI 1114404845
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.