Individual provider Active NPI

Brian Durand Forquer, M.S.

  • Audiologist
  • Van Nuys, CA
National Provider Identifier
1154501120
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU482 Issued in CA
Practice address
14435 Sherman Way
#207
Van Nuys, CA 91405-2331
Phone
(818) 994-8927
NPI assigned
Nov 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU482 CA Primary

Addresses

Primary practice location

14435 Sherman Way
#207
Van Nuys, CA 91405-2331

Mailing address

14435 Sherman Way
#207
Van Nuys, CA 91405-2331
Phone (818) 994-8927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050404000500 CA Practitioner - Qualified Audiologist 5092762930 Practice locations: Van Nuys, CA

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14435 Sherman Way
Suite 207
Van Nuys, CA 91405-6233
Phone (818) 994-8927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Union Audiology and Hearing Aid Service Inc Audiologist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1154501120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14435 SHERMAN WAY",
            "address_2": "#207",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052331",
            "telephone_number": "818-994-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14435 SHERMAN WAY",
            "address_2": "#207",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052331",
            "telephone_number": "818-994-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORQUER",
        "first_name": "BRIAN",
        "middle_name": "DURAND",
        "name_prefix": "Mr.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.