Individual provider Active NPI

Brenna Ebbinghaus, AU.D.

  • Audiologist
  • Cedar Park, TX
National Provider Identifier
1225967342
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
81890 Issued in TX
Practice address
1603 Medical Pkwy Ste 200
Cedar Park, TX 78613-7904
Phone
(512) 260-2665
Fax
(512) 260-2668
NPI assigned
May 15, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 81890 TX Primary
Audiologist-Hearing Aid Fitter 237600000X 81890 TX

Addresses

Primary practice location

1603 Medical Pkwy Ste 200
Cedar Park, TX 78613-7904

Mailing address

1603 Medical Pkwy Ste 200
Cedar Park, TX 78613-7904
Phone (512) 260-2665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

145 Smith Dr
Atlantic, NC 28511-9615

1603 Medical Pkwy
Suite 200
Cedar Park, TX 78613-7899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
81890TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
DCLC Enterprises, LLC Audiologist CurrentSince Jun 1, 2026 Accepting new patients
Wondearfully Audacious, LLC Audiologist-Hearing Aid Fitter CurrentSince Jun 1, 2026 Accepting new patients

Locations

1603 Medical Pkwy
Ste 200
Cedar Park, TX 78613
Phone (512) 260-2665

Organizations & group practices 2

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": "1778803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1225967342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 MEDICAL PKWY STE 200",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137904",
            "telephone_number": "512-260-2665",
            "fax_number": "512-260-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 MEDICAL PKWY STE 200",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137904",
            "telephone_number": "512-260-2665",
            "fax_number": "512-260-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBBINGHAUS",
        "first_name": "BRENNA",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-15",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "81890",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "81890",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.