Active NPI
Brandon S Gray, COHC
- Other Technician
- Henderson, NC
National Provider Identifier
1316286115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 478661
- Practice address
- 857 S Beckford Dr
Suite H
Henderson, NC 27536-3486 - Phone
- (252) 430-7744
- Fax
- (252) 430-0917
- NPI assigned
- Feb 14, 2013
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | 478661 | NC | Primary |
Addresses
Primary practice location
857 S Beckford Dr
Suite H
Henderson, NC 27536-3486
Mailing address
857 S Beckford Dr
Suite H
Henderson, NC 27536-3486
Phone (252) 430-7744
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 478661 | Other | NC | CERTIFIED OCCUPATIONAL HEARING CONSERVATIONIST |
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 |
|---|---|---|---|
| 478661 | NC | MD | Other Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Area Hearing Center, LLC | 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 and National Provider Directory roles.
-
- Audiologist-Hearing Aid Fitter
- Henderson, NC
- NPI 1942526462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373932800000",
"number": "1316286115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "857 S BECKFORD DR",
"address_2": "SUITE H",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275363486",
"telephone_number": "252-430-7744",
"fax_number": "252-430-0917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "857 S BECKFORD DR",
"address_2": "SUITE H",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275363486",
"telephone_number": "252-430-7744",
"fax_number": "252-430-0917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "BRANDON",
"middle_name": "S",
"credential": "COHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-14",
"last_updated": "2013-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "NC",
"license": "478661",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED OCCUPATIONAL HEARING CONSERVATIONIST",
"identifier": "478661",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NC
- James Oscar Goodwin, MD
- Crystal Parker Grant
- Granville Vance Community Health Inc.
- Granville-Vance District Health Department
- Nancy Gray-Terry, MSW, LCSW
- Lara Royster Gray, AU.D.
- Green & Co. Wellness Collective, PLLC
- Green Rural Redevelopment Organization
- Green-Bullock Assisted Living Center
- Shaneicia D Green, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.