Jeff E Brockett, ED.D

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AUD1233 Issued in ID

Practice address

650 Memorial Dr BLDG 68
Pocatello, ID 83209-0001

Phone

(208) 282-2556

NPI assigned

Jul 27, 2006

Last updated

Apr 1, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain View Hospital LLCGroup PAC ID 4486562774, 272 clinicians

Idaho State UniversityGroup PAC ID 4688683030, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Idaho State University

  dba Idaho State University Speech & Hearing Clinic

  • Audiologist
  • Pocatello, ID
  • NPI 1952474777
  Medicare reassignment Care Compare group NPD
• Mountain View Hospital LLC

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1669462362
  Medicare reassignment Care Compare group
• MV Pocatello ENT, LLC

  • Otolaryngology Physician
  • Pocatello, ID
  • NPI 1154801595
  Medicare reassignment NPD
• Idaho State University

  • Community/Retail Pharmacy
  • McCammon, ID
  • NPI 1083393284
  NPD
• Steelhead Medical LTD

  dba Kraig C McGee MD

  • Otolaryngology Physician
  • Pocatello, ID
  • NPI 1114091220
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1013931450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 MEMORIAL DRIVE",
            "address_2": "BOX 8116",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "83209",
            "telephone_number": "208-282-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 MEMORIAL DR BLDG 68",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832090001",
            "telephone_number": "208-282-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKETT",
        "first_name": "JEFF",
        "middle_name": "E",
        "credential": "ED.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "ID",
            "license": "AUD1233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP # AU753",
            "identifier": "AU787",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004413800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul W. Brinton, CRNA
• Staci J. Briscoe, LSW
• Brizzee Family Medicine Inc
• David Paul Brizzee
• Brandon H. Broadhead, BA
• Broncho Mental Health
• Maura Bronson, M.S., SLP-CCC
• Kelly Laine Brookshier
• Brady Victor Brower, PHARMD
• Albert Brown, RPT

• Audiologist in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Audiologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.