Kolton Chase Bruce, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

3497 Issued in IL

Practice address

700 N 54TH St
Quincy, IL 62305-7909

Phone

(217) 640-5904

NPI assigned

Oct 12, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1356067300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N 54TH ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623057909",
            "telephone_number": "217-640-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N 54TH ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623057909",
            "telephone_number": "217-640-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "KOLTON",
        "middle_name": "CHASE",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-12",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IL",
            "license": "3497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley N. Brown, CNP
• Glenda Brown, NP
• Jacqueline Renee Brown, PHARMD
• Sara Brown, APRN
• Tiffany Rochelle Browning
• Bruening Total Wellness Center LLC
• Brandon Bruening, D.C.
• Garrett Brugman, ATC
• Karen Lori Buckwalter, L.C.S.W.
• Kristen A Buerstatte, PA-C

• Hearing Instrument Specialist in Quincy, IL
• Providers in Quincy, IL by specialty
• Hearing Instrument Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.