Maryellen Brisson, AU.D.

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

AU604 Issued in CA

Practice address

4201 Torrance Blvd Ste 140
Torrance, CA 90503-4500

Phone

(310) 540-4327

NPI assigned

Jun 29, 2010

Last updated

Jun 29, 2010By the provider in NPPES

Sex

Female

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)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Parker Hearing Institute a Professional Corproration

  • Audiologist
  • Torrance, CA
  • NPI 1679106686
  NPD

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1356652929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 30TH ST",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542308",
            "telephone_number": "310-372-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 TORRANCE BLVD STE 140",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034500",
            "telephone_number": "310-540-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISSON",
        "first_name": "MARYELLEN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marquise James Brinkley
• Kirsten Brinkmeier
• Nadia Rosalinda Briones
• Elizabeth Briseno I
• Nicole Briseno
• Brenda Brito
• Lindsey Britt, OTR
• Jessica Lester Britton
• Miguel Brizuela
• Matthew Brian Broadwater-Hollifield, MD

• Audiologist-Hearing Aid Fitter in Torrance, CA
• Providers in Torrance, CA by specialty
• Audiologist-Hearing Aid Fitter in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.