Active NPI
Andrew Gerdin
- Hearing Instrument Specialist
- San Antonio, TX
National Provider Identifier
1104191477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 80528
- Practice address
- 3307 Nantucket Dr
San Antonio, TX 78230-4018 - Phone
- (512) 858-0300
- NPI assigned
- Mar 19, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 80528 | TX | Primary |
Addresses
Primary practice location
3307 Nantucket Dr
San Antonio, TX 78230-4018
Mailing address
3307 Nantucket Dr
San Antonio, TX 78230-4018
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
| License | State | Type | Specialty |
|---|---|---|---|
| 80528 | TX | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393718400000",
"number": "1104191477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3307 NANTUCKET DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782304018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3307 NANTUCKET DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782304018",
"telephone_number": "512-858-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERDIN",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-19",
"last_updated": "2014-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "TX",
"license": "80528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.