Individual provider Active NPI

Brennen Daniel Karl, AUD

  • Audiologist
  • Englewood, CO
National Provider Identifier
1356016711
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD.0001100 Issued in CO
Practice address
3439 S Lincoln St
Englewood, CO 80113-2541
Phone
(303) 777-9720
Fax
(303) 781-9537
NPI assigned
Aug 9, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD.0001100 CO Primary

Addresses

Primary practice location

3439 S Lincoln St
Englewood, CO 80113-2541

Mailing address

1315 Vivian St
Longmont, CO 80501-3216
Phone (303) 776-8748

Other practice location 1

155 S Madison St Ste 240
Denver, CO 80209-3013
Phone (303) 321-1402

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210909001881 CO Practitioner - Qualified Audiologist 2365848702 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Whitney Swander Audiology, Inc Audiologist CurrentSince Dec 9, 2022 Accepting new patients

Locations

4800 Baseline Rd
Ste E108
Boulder, CO 80303
Phone (303) 499-3900

3439 S Lincoln St
Englewood, CO 80113
Phone (303) 647-5418

1315 Vivian St
Longmont, CO 80501
Phone (303) 776-8748

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": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1356016711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 VIVIAN ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013216",
            "telephone_number": "303-776-8748",
            "fax_number": "303-684-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3439 S LINCOLN ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132541",
            "telephone_number": "303-777-9720",
            "fax_number": "303-781-9537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 S Madison St Ste 240",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802093013",
            "country_code": "US",
            "telephone_number": "303-321-1402",
            "fax_number": "303-321-1452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARL",
        "first_name": "BRENNEN",
        "middle_name": "DANIEL",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-09",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "AUD.0001100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.