Organization Active NPI

Listen Hear Audiology Center, LLC

  • Audiologist
  • Bryan, TX
National Provider Identifier
1215179783
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
51019 Issued in TX
Legal business name
LISTEN HEAR AUDIOLOGY CENTER, LLC
Practice address
3030 E 29TH St
Suite 117
Bryan, TX 77802-2757
Phone
(979) 776-4327
Fax
(979) 776-4326
NPI assigned
Mar 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

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

Authorized official

Name
Dr. Robert A. Herring, AU.D.NPI 1053314930
Title
Member
Phone
(979) 776-4327

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 51019 TX Primary

Addresses

Primary practice location

3030 E 29TH St
Suite 117
Bryan, TX 77802-2757

Mailing address

3030 E 29TH St
Suite 117
Bryan, TX 77802-2757
Phone (979) 776-4327

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090512000303 TX Part B Supplier - Clinic/Group Practice 2567511058 Receives reassigned benefits from 1 practitioner
Practice locations: Bryan, TX

National Provider Directory

National Provider Directory

Locations

3091 University Dr E
Bryan, TX 77802
Phone (979) 776-4327

3091 University Dr E
Ste 410
Bryan, TX 77802
Phone (979) 776-4327

3030 E 29th St
Ste 117
Bryan, TX 77802
Phone (979) 776-4327

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1215179783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 E 29TH ST",
            "address_2": "SUITE 117",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022757",
            "telephone_number": "979-776-4327",
            "fax_number": "979-776-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 E 29TH ST",
            "address_2": "SUITE 117",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022757",
            "telephone_number": "979-776-4327",
            "fax_number": "979-776-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISTEN HEAR AUDIOLOGY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "HERRING",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "979-776-4327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "TX",
            "license": "51019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.