Active NPI
Robert Ball Gardner, AU.D.
- Audiologist
- Denver, CO
National Provider Identifier
1023325875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD-590
- Practice address
- 90 Madison St Ste 201
Denver, CO 80206-5411 - Phone
- (303) 322-0054
- Fax
- (303) 355-5879
- NPI assigned
- Aug 31, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AUD-590 | CO | Primary |
Addresses
Primary practice location
90 Madison St Ste 201
Denver, CO 80206-5411
Mailing address
90 Madison St Ste 201
Denver, CO 80206-5411
Phone (303) 322-0054
Other practice location 1
9950 W 80th Ave Ste 10
Arvada, CO 80005-3914
Phone (303) 647-9996
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3218110 | Other | CO | UNITEDHEALTHCARE |
| 708823 | Other | CO | MEDICARE |
| 9000172190 | Medicaid | CO | |
| 4729688 | Other | CO | CIGNA |
| 5739842 | Other | CO | AETNA |
| 3218110 | Other | CO | UMR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AUD-590 | CO | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broadmoor Hearing Clinic LLC | Audiologist | Past | Accepting new patients |
Networks
- devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
- CO HMO
- CO HMO D-SNP
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Audiologist
- Colorado Springs, CO
- NPI 1710448527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676592000000",
"number": "1023325875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 MADISON ST STE 201",
"city": "DENVER",
"state": "CO",
"postal_code": "802065411",
"telephone_number": "303-322-0054",
"fax_number": "303-355-5879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 MADISON ST STE 201",
"city": "DENVER",
"state": "CO",
"postal_code": "802065411",
"telephone_number": "303-322-0054",
"fax_number": "303-355-5879"
}
],
"practiceLocations": [
{
"address_1": "9950 W 80th Ave Ste 10",
"address_purpose": "LOCATION",
"city": "Arvada",
"state": "CO",
"postal_code": "800053914",
"country_code": "US",
"telephone_number": "303-647-9996",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARDNER",
"first_name": "ROBERT",
"middle_name": "BALL",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-31",
"last_updated": "2023-02-17",
"certification_date": "2023-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CO",
"license": "AUD-590",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "3218110",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "708823",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000172190",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4729688",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5739842",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMR",
"identifier": "3218110",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.