Active NPI
Tim Brecheisen
- Hearing Instrument Specialist
- Wichita, KS
National Provider Identifier
1154408557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- CE569
- Practice address
- 303 S Hydraulic St
Wichita, KS 67211-1908 - Phone
- (316) 269-4327
- Fax
- (316) 262-4327
- NPI assigned
- Nov 1, 2006
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | CE569 | KS | Primary |
Addresses
Primary practice location
303 S Hydraulic St
Wichita, KS 67211-1908
Mailing address
303 S Hydraulic St
Wichita, KS 67211-1908
Phone (316) 269-4327
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 |
|---|---|---|---|
| CE569 | KS | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154408557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 S HYDRAULIC ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672111908",
"telephone_number": "316-269-4327",
"fax_number": "316-262-4327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 S HYDRAULIC ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672111908",
"telephone_number": "316-269-4327",
"fax_number": "316-262-4327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRECHEISEN",
"first_name": "TIM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "KS",
"license": "CE569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.