Individual provider Active NPI

Brad Raymond Stanfield, BC-HIS

  • Hearing Instrument Specialist
  • New Haven, IN
National Provider Identifier
1295070092
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
17001100A Issued in IN
Practice address
10848 Rose Ave Ste 3
New Haven, IN 46774-8912
Phone
(260) 493-7742
NPI assigned
Dec 5, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 17001100A IN Primary
Hearing Instrument Specialist 237700000X 2156 OH
Hearing Aid Equipment 332S00000X 17001100A IN

Addresses

Primary practice location

10848 Rose Ave Ste 3
New Haven, IN 46774-8912

Mailing address

10848 Rose Ave Ste 3
New Haven, IN 46774-8912
Phone (260) 493-7742

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

LicenseStateTypeSpecialty
2156OHMDHearing Instrument Specialist
17001100AINMDHearing Aid Equipment

NPI Registry JSON

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1295070092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10848 ROSE AVE STE 3",
            "city": "NEW HAVEN",
            "state": "IN",
            "postal_code": "467748912",
            "telephone_number": "260-493-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10848 ROSE AVE STE 3",
            "city": "NEW HAVEN",
            "state": "IN",
            "postal_code": "467748912",
            "telephone_number": "260-493-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFIELD",
        "first_name": "BRAD",
        "middle_name": "RAYMOND",
        "name_prefix": "Mr.",
        "credential": "BC-HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-05",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IN",
            "license": "17001100A",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OH",
            "license": "2156",
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "IN",
            "license": "17001100A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.