Individual provider Active NPI

Mattia May Brunson

  • Hearing Instrument Specialist
  • Rochester, MI
National Provider Identifier
1336014265
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
3502013306 Issued in MI
Practice address
71 Walnut Blvd Ste 108
Rochester, MI 48307-2073
Phone
(248) 652-1208
NPI assigned
Oct 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 3502013306 MI Primary

Addresses

Primary practice location

71 Walnut Blvd Ste 108
Rochester, MI 48307-2073

Mailing address

71 Walnut Blvd Ste 108
Rochester, MI 48307-2073
Phone (248) 652-1208

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
3502013306MIMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Hearing Care CurrentSince Oct 12, 2025 Accepting new patients
Ddymon Inc. PastSince Oct 12, 2025 Accepting new patients

Locations

71 Walnut Blvd
Ste 108
Rochester, MI 48307
Phone (248) 515-6211

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.

NPI Registry JSON

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1336014265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 WALNUT BLVD STE 108",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483072073",
            "telephone_number": "248-652-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 WALNUT BLVD STE 108",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483072073",
            "telephone_number": "248-652-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNSON",
        "first_name": "MATTIA",
        "middle_name": "MAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MI",
            "license": "3502013306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.