Individual provider Active NPI

Paul Edward Ashbrook, MS, CCC-A, FAAA03

  • Specialist
  • Martinsville, VA
National Provider Identifier
1316917693
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2201001180 Issued in VA
Practice address
1111 Spruce St
Martinsville, VA 24112-4508
Phone
(276) 666-0401
Fax
(276) 666-0045
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2201001180 VA Primary
Specialist 174400000X 2101-001212 VA

Addresses

Primary practice location

1111 Spruce St
Martinsville, VA 24112-4508

Mailing address

1111 Spruce St
Martinsville, VA 24112-4508
Phone (276) 666-0401

Other identifiers 3

IdentifierTypeStateIssuer
2101-001212OtherVAHEARING AID DEALER
2201001180OtherVAAUDIOLOGIST LICENSE #
136675OtherVAANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040416000216 VA Practitioner - Qualified Audiologist 1557356904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1111 Spruce St
Martinsville, VA 24112-4508
Phone (276) 666-0401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2101-001212VAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ashbrook Audiology and Hearing Aid Center, Inc CurrentSince Feb 10, 2003 Accepting new patients

Locations

2801 Westover Dr
Danville, VA 24541
Phone (434) 792-2182

1111 Spruce St
Martinsville, VA 24112
Phone (276) 666-0401

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.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316917693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 SPRUCE ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241124508",
            "telephone_number": "276-666-0401",
            "fax_number": "276-666-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SPRUCE ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241124508",
            "telephone_number": "276-666-0401",
            "fax_number": "276-666-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHBROOK",
        "first_name": "PAUL",
        "middle_name": "EDWARD",
        "credential": "MS, CCC-A, FAAA03",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "2201001180",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "2101-001212",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING AID DEALER",
            "identifier": "2101-001212",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGIST LICENSE #",
            "identifier": "2201001180",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "136675",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.