Individual provider Active NPI

Charles Bickford, AUD

  • Audiologist
  • Portland, ME
National Provider Identifier
1265267116
Registry record updated Sep 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AP4162 Issued in ME
Practice address
75 W Commercial St Ste 205
Portland, ME 04101-4799
Phone
(207) 874-1065
NPI assigned
Sep 2, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AP4162 ME Primary

Addresses

Primary practice location

75 W Commercial St Ste 205
Portland, ME 04101-4799

Mailing address

75 W Commercial St Ste 205
Portland, ME 04101-4799

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250320000240 ME Practitioner - Qualified Audiologist 7517489461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Hearing and Speech Center, Inc. 3 clinicians

Practice addresses (Care Compare)

75 W Commercial St
Suite 205
Portland, ME 04101-4799
Phone (207) 874-1065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Hearing and Speech Center, Inc. Audiologist CurrentSince Feb 12, 2025 Accepting new patients

Locations

75 W Commercial St
Ste 205
Portland, ME 04101
Phone (207) 874-1065

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725235200000",
    "number": "1265267116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 W COMMERCIAL ST STE 205",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 W COMMERCIAL ST STE 205",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014799",
            "telephone_number": "207-874-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKFORD",
        "first_name": "CHARLES",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-02",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "ME",
            "license": "AP4162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.