Active NPI
Brian Rodriguez
- Hearing Instrument Specialist
- Tamarac, FL
National Provider Identifier
1255739173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- AS5020
- Practice address
- 6221 N University Dr
Tamarac, FL 33321 - Phone
- (954) 572-0905
- Fax
- (954) 572-2630
- NPI assigned
- Dec 9, 2014
- Last updated
- Apr 11, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | FL | ||
| Hearing Instrument Specialist | 237700000X | AS5020 | FL | Primary |
Addresses
Primary practice location
6221 N University Dr
Tamarac, FL 33321
Mailing address
6700 Washington Ave S
Eden Prairie, MN 55344-3405
Phone (612) 351-1529
Other practice location 1
3902 W Hillsboro Blvd
Deerfield Beach, FL 33442-9414
Phone (954) 427-9537
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AS5020 | FL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearusa Inc | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| Audiology Distribution, LLC | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Audiologist-Hearing Aid Fitter
- West Palm Beach, FL
- NPI 1073560231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554940800000",
"number": "1255739173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6700 WASHINGTON AVE S",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443405",
"telephone_number": "612-351-1529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6221 N UNIVERSITY DR",
"city": "TAMARAC",
"state": "FL",
"postal_code": "33321",
"telephone_number": "954-572-0905",
"fax_number": "954-572-2630"
}
],
"practiceLocations": [
{
"address_1": "3902 W Hillsboro Blvd",
"address_purpose": "LOCATION",
"city": "Deerfield Beach",
"state": "FL",
"postal_code": "334429414",
"country_code": "US",
"telephone_number": "954-427-9537",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "BRIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-09",
"last_updated": "2019-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "FL",
"license": "AS5020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.