Melinda A. Brahmer, CCC-A

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

288-156 Issued in WI

Practice address

123 W State St
Medford, WI 54451-1772

Phone

(715) 748-4447

Fax

(715) 748-4447

NPI assigned

Nov 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mid Wisconsin Ear, Nose & Throat Professionals

  • Facial Plastic Surgery Physician
  • Wausau, WI
  • NPI 1366778250
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1164597126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W7463 GRASSY KNOLL TRL",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544518618",
            "telephone_number": "715-748-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W STATE ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511772",
            "telephone_number": "715-748-4447",
            "fax_number": "715-748-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAHMER",
        "first_name": "MELINDA",
        "middle_name": "A.",
        "credential": "CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WI",
            "license": "288-156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURITY HEALTH PROVIDER",
            "identifier": "51000",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41132100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bone & Joint Clinic S.C.
• Borealis Wellness Clinic LLC
• Michael F Borgen, FNP
• Jeffery R Bourgerie, O.D.
• Michelle Bowe, PCT
• Erik T Branstetter, DO
• Olivia Ruth Brock
• Kathryn P Bromann, RD CD
• Dean P. Brost, D.C.
• Kelsey J Brost, PA-C

• All providers in Medford, WI
• Audiologist-Hearing Aid Fitter in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.