Active NPI
Peter Bromley
- Hearing Instrument Specialist
- Jacksonville, NC
National Provider Identifier
1306212071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- NC1328
- Practice address
- 1715 Country Club Rd Ste a
Jacksonville, NC 28546-6042 - Phone
- (910) 938-9595
- Fax
- (910) 938-7595
- NPI assigned
- Aug 18, 2015
- Last updated
- Aug 18, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | NC1328 | NC | Primary |
Addresses
Primary practice location
1715 Country Club Rd Ste a
Jacksonville, NC 28546-6042
Mailing address
1715 Country Club Rd Ste a
Jacksonville, NC 28546-6042
Phone (910) 938-9595
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 |
|---|---|---|---|
| NC1328 | NC | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossing Paths, LLC Dba Beltone Carolina Virginia | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Beltone Carolina Virginia
- Hearing Aid Equipment
- Jacksonville, NC
- NPI 1194046243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439856000000",
"number": "1306212071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 COUNTRY CLUB RD STE A",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466042",
"telephone_number": "910-938-9595",
"fax_number": "910-938-7595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 COUNTRY CLUB RD STE A",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466042",
"telephone_number": "910-938-9595",
"fax_number": "910-938-7595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROMLEY",
"first_name": "PETER",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-18",
"last_updated": "2015-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NC",
"license": "NC1328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.