Active NPI
Mary M Keith, AU. D.
- Audiologist
- Brockton, MA
National Provider Identifier
1306977277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 140
- Practice address
- 1324 Belmont St
Suite 204
Brockton, MA 02301-4435 - Phone
- (508) 559-9200
- Fax
- (508) 559-0027
- NPI assigned
- Mar 9, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 140 | MA | Primary |
Addresses
Primary practice location
1324 Belmont St
Suite 204
Brockton, MA 02301-4435
Mailing address
1324 Belmont St
Suite 204
Brockton, MA 02301-4435
Phone (508) 559-9200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AD0001 | Other | MA | BCBS PROVIDER NUMBER |
Other names 1
- Dr. Mary M Cody
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 140 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Ears Hearing Center Inc | Audiologist | Past | Accepting new patients |
| Advanced Hearing Care ,Inc | Audiologist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
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- South Easton, MA
- NPI 1508061441
-
- Audiologist
- Plymouth, MA
- NPI 1477540755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272412800000",
"number": "1306977277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1324 BELMONT ST",
"address_2": "SUITE 204",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023014435",
"telephone_number": "508-559-9200",
"fax_number": "508-559-0027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1324 BELMONT ST",
"address_2": "SUITE 204",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023014435",
"telephone_number": "508-559-9200",
"fax_number": "508-559-0027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEITH",
"first_name": "MARY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "AU. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2010-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MA",
"license": "140",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "AD0001",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "CODY",
"middle_name": "M",
"prefix": "DR.",
"credential": "AU.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.