NPIMap

Organization Active NPI

Brad McMillin Inc

Doing business as Beltone Hearing Aid Service

  • Hearing Aid Equipment
  • Poplar Bluff, MO
National Provider Identifier
1902055205
Registry record updated Apr 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
MO2008036838 Issued in MO
Legal business name
BRAD MCMILLIN INC
Doing business as
Beltone Hearing Aid Service
Practice address
1367 N Westwood Blvd
Poplar Bluff, MO 63901-3313
Phone
(573) 776-7800
Fax
(573) 701-0103
NPI assigned
Sep 11, 2008
Last updated
Apr 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2009

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

Authorized official

Name
Patty L McCubbins
Title
Accounts Receivable Manager
Phone
(618) 624-4471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X MO2008036838 MO Primary

Addresses

Primary practice location

1367 N Westwood Blvd
Poplar Bluff, MO 63901-3313

Mailing address

1415 West Highway 50
O'Fallon, IL 62269-3313
Phone (618) 624-4471

Other identifiers 1

IdentifierTypeStateIssuer
8215212OtherILBLUE CROSS BLUE SHIELD OF IL

Other names 1

  • BELTONE HEARING AID SERVICE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beltone Hearing Aid Service24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

Locations

1367 N Westwood Blvd
Poplar Bluff, MO 63901
Phone (573) 776-7800

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240531200000",
    "number": "1902055205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 WEST HIGHWAY 50",
            "city": "O'FALLON",
            "state": "IL",
            "postal_code": "622693313",
            "telephone_number": "618-624-4471",
            "fax_number": "618-624-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 N WESTWOOD BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013313",
            "telephone_number": "573-776-7800",
            "fax_number": "573-701-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD MCMILLIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2009-04-24",
        "status": "A",
        "authorized_official_last_name": "MCCUBBINS",
        "authorized_official_first_name": "PATTY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE MANAGER",
        "authorized_official_telephone_number": "618-624-4471"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "MO",
            "license": "MO2008036838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF IL",
            "identifier": "8215212",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BELTONE HEARING AID SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poplar Bluff, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; 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.