BRAD MCMILLIN, INC (NPI# 1790901494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790901494 |
| Entity Type | Organization |
| Organization Name | BRAD MCMILLIN, INC |
| Other Organization Name | BELTONE HEARING AID SERVICE |
| Practice Address |
1415 West Highway 50 O'fallon IL 62269 |
| Practice Telephone | 6186244471 |
| Practice Fax Number | 6186244496 |
| Mailing Telephone | 6186244471 |
| Mailing Fax Number | 6186244496 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2009-04-22 |
| Authorized Official Name | PATTY L MCCUBBINS (ACCOUNTS RECEIVABLE) |
| Authorized Official Telephone | 6186244471 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332S00000X | Hearing Aid Equipment | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BC BS OF ILLINOIS | 8215212 | 01 |
| MO | BC BS OF MISSOURI | 154857 | 01 |
| Other Name | Type Code |
|---|---|
| Beltone Hearing Aid Service | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437336047 | Brad Mcmillin, Inc | Hearing Aid Equipment | 1707 E Main St Ste 6, Olney, IL 62450-3156 | 2008-01-25 |
| 1265658371 | Brad Mcmillin, Inc | Hearing Aid Equipment | 8558 Eager Rd, Bldg. F-3, Brentwood, MO 63144-1435 | 2007-04-17 |
| 1285850339 | Brad Mcmillin, Inc | Hearing Aid Equipment | 2969 Highway K, O Fallon, MO 63368-7862 | 2007-04-17 |
| 1851517965 | Brad Mcmillin, Inc | Hearing Aid Equipment | 1130b E Main St, Carbondale, IL 62901-3137 | 2007-04-17 |
| 1669698775 | Brad Mcmillin, Inc | Hearing Aid Equipment | 1011 Commerce Dr, Fairfield, IL 62837-2364 | 2007-04-17 |
| 1558587667 | Brad Mcmillin, Inc | Hearing Aid Equipment | 1108 N Carbon St, Marion, IL 62959-1067 | 2007-04-17 |
| 1871719922 | Brad Mcmillin, Inc | Hearing Aid Equipment | 1032 E Karsch Blvd, Farmington, MO 63640-3403 | 2007-04-17 |
| 1649496795 | Brad Mcmillin, Inc | Hearing Aid Equipment | 469b Lafayette Ctr, Manchester, MO 63011-3943 | 2007-04-17 |
| 1205052354 | Brad Mcmillin, Inc | Hearing Aid Equipment | 2310 N Us Highway 67, Florissant, MO 63033-2034 | 2007-04-17 |
| 1639395783 | Brad Mcmillin, Inc | Hearing Aid Equipment | 2548 Lemay Ferry Road, St. Louis, MO 63125 | 2007-04-17 |
| Street Address |
1415 WEST HIGHWAY 50 |
| City | O'FALLON |
| State | IL |
| Zip Code | 62269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| 1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
| 1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
| 1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
| 1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
| 1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
| 1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
| Find all providers in zip 62269 | ||||
| Taxonomy Code | 332S00000X |
| Grouping | Suppliers |
| Classification | Hearing Aid Equipment |
| The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818628 | Solange Renee Pilizota | Hearing Aid Equipment | 7183 Cermak Rd, Berwyn, IL 60402-2103 | 2019-08-31 |
| 1295261410 | Chicago Hearing LLC | Hearing Aid Equipment | 129 N Main St Unit 7, East Peoria, IL 61611-2543 | 2017-05-08 |
| 1831625052 | Chicago Hearing LLC | Hearing Aid Equipment | 4627 N University St, Peoria, IL 61614-5828 | 2017-05-08 |
| 1912433137 | Chicago Hearing LLC | Hearing Aid Equipment | 1865 N Henderson St Ste 4, Galesburg, IL 61401-1377 | 2017-05-08 |
| 1659807907 | Chicago Hearing LLC | Hearing Aid Equipment | 502 N Prospect Rd Ste 18, Bloomington, IL 61704-7725 | 2017-05-05 |
| 1932634755 | Hearing At Home | Hearing Aid Equipment | 3912 Lincoln Trl, Taylorville, IL 62568-7722 | 2017-04-30 |
| 1821538554 | Northland Hearing Centers, Inc | Hearing Aid Equipment | 422 S 8th St, Quincy, IL 62301-4150 | 2017-02-28 |
| 1366982092 | Northland Hearing Centers, Inc | Hearing Aid Equipment | 440 N Lafayette St, Macomb, IL 61455-1512 | 2017-02-28 |
| 1336690874 | Kathleen Lee | Hearing Aid Equipment | 7531 S Stony Island Ave Ste 155, Chicago, IL 60649-3954 | 2016-10-19 |
| 1457801946 | Audio Hearing Center | Hearing Aid Equipment | 1306 Broadway St, Mount Vernon, IL 62864-3717 | 2016-10-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.