Individual provider Active NPI

Bjorn Elefson Eriksen, M.S.E.E.-BCHIS

  • Audiologist
  • Pompano Beach, FL
National Provider Identifier
1205084803
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
5039 Issued in FL
Practice address
1000 W McNab Rd
111
Pompano Beach, FL 33069-4719
Phone
(954) 552-2068
NPI assigned
Sep 8, 2008
Last updated
Aug 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2760 NH
Audiologist 231H00000X 5039 FL Primary

Addresses

Primary practice location

1000 W McNab Rd
111
Pompano Beach, FL 33069-4719

Mailing address

1000 W McNab Rd
111
Pompano Beach, FL 33069-4719
Phone (800) 400-5402

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5039FLMDAthletic Trainer
2760NHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Med-Tec Hearing Labs, Inc. 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1205084803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W MCNAB RD",
            "address_2": "111",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694719",
            "telephone_number": "800-400-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W MCNAB RD",
            "address_2": "111",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694719",
            "telephone_number": "954-552-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERIKSEN",
        "first_name": "BJORN",
        "middle_name": "ELEFSON",
        "name_prefix": "Mr.",
        "credential": "M.S.E.E.-BCHIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-08",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NH",
            "license": "2760",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "5039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.