Individual provider Active NPI

Gina Marie Brummett, HIS

  • Hearing Instrument Specialist
  • Beavercreek, OH
National Provider Identifier
1083158216
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
IL.03216 Issued in OH
Practice address
3183 Beaver Vu Dr Ste F
Beavercreek, OH 45434-6385
Phone
(937) 637-1677
NPI assigned
Dec 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 03216 OH
Hearing Instrument Specialist 237700000X IL.03216 OH Primary

Addresses

Primary practice location

3183 Beaver Vu Dr Ste F
Beavercreek, OH 45434-6385

Mailing address

2272 Patterson LN E
Troy, OH 45373-2390
Phone (937) 875-5335

Other practice location 1

1144 E Home Rd Ste C
Springfield, OH 45503-2797
Phone (937) 637-1677

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
03216OHMDHearing Instrument Specialist
IL.03216OHMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Wright Hearing LTD CurrentSince Jan 28, 2024 Accepting new patients
Revolution Hearing Hearing Instrument Specialist PastSince Jan 28, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1083158216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2272 PATTERSON LN E",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732390",
            "telephone_number": "937-875-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3183 BEAVER VU DR STE F",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346385",
            "telephone_number": "937-637-1677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1144 E Home Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455032797",
            "country_code": "US",
            "telephone_number": "937-637-1677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUMMETT",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "HIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-07",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OH",
            "license": "03216",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OH",
            "license": "IL.03216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.