Brooke Wallace

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

1671 Issued in NC

Practice address

603 E Boulevard Ste B
Williamston, NC 27892-2781

Phone

(252) 789-4008

NPI assigned

Dec 20, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• McCall Aquistitions Inc

  dba Avada

  • Hearing Instrument Specialist
  • Rocky Mount, NC
  • NPI 1649202169
  NPD (past)
• Audiology Services Company USA, LLC

  dba Hearinglife

  • Hearing and Speech Clinic/Center
  • Somerset, NJ
  • NPI 1033585302

  Hearing Instrument Specialist

  NPD (past)
• Audiology Services Company USA, LLC

  • Hearing and Speech Clinic/Center
  • Melbourne, FL
  • NPI 1902318108
  NPD (past)

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1184493066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 CAROLINA AVE STE 101",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894297",
            "telephone_number": "252-940-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E BOULEVARD STE B",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922781",
            "telephone_number": "252-789-4008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1604 Carolina Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "NC",
            "postal_code": "278894297",
            "country_code": "US",
            "telephone_number": "252-940-0068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 Church St E",
            "address_purpose": "LOCATION",
            "city": "Ahoskie",
            "state": "NC",
            "postal_code": "279103518",
            "country_code": "US",
            "telephone_number": "252-332-3822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NC",
            "license": "1671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vital Point Health Resources
• Vital Point Health Resources
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1641)
• Walgreen Co (Rite Aid)
• Walgreen Co (Walgreens # 17331)
• Formecia Wallace, MS, MA, LCAS-A
• Karen C Ward, CRT, RCP
• Kristin Ward Warren, PA-C
• Waterside Therapy Associates, P.L.L.C.
• Kortney Shakia Watford

• Hearing Instrument Specialist in Williamston, NC
• Providers in Williamston, NC by specialty
• Hearing Instrument Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.