Organization Active NPI

The Hearing Center of Bridgeport, LLC

  • Audiologist
  • Bridgeport, CT
National Provider Identifier
1265765705
Registry record updated Oct 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
000418 Issued in CT
Legal business name
THE HEARING CENTER OF BRIDGEPORT, LLC
Practice address
515 N Ridgefield Ave
Bridgeport, CT 06610-2557
Phone
(203) 330-9100
Fax
(203) 413-6482
NPI assigned
Sep 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2009

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

Authorized official

Name
Mr. James Leo
Title
General Manager
Phone
(203) 243-4571

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X 000418 CT Primary
Assistive Technology Practitioner AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231HA2400X 000418 CT
Assistive Technology Supplier AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231HA2500X 000418 CT
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X 000418 CT

Addresses

Primary practice location

515 N Ridgefield Ave
Bridgeport, CT 06610-2557

Mailing address

515 N Ridgefield Ave
Bridgeport, CT 06610-2557
Phone (203) 330-9100

National Provider Directory

National Provider Directory

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": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1265765705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N RIDGEFIELD AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102557",
            "telephone_number": "203-330-9100",
            "fax_number": "203-413-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N RIDGEFIELD AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102557",
            "telephone_number": "203-330-9100",
            "fax_number": "203-413-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEARING CENTER OF BRIDGEPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "LEO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "203-243-4571",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "CT",
            "license": "000418",
            "primary": true
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "CT",
            "license": "000418",
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "CT",
            "license": "000418",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CT",
            "license": "000418",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.