Brian David Moffitt, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

6885 Issued in NC

Practice address

1915 W Park Dr Ste 108
North Wilkesboro, NC 28659-3777

Phone

(336) 838-7758

Fax

(336) 838-9790

NPI assigned

May 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Moffitt Audiology, PLLC

  • Audiologist
  • North Wilkesboro, NC
  • NPI 1720610983
  Medicare reassignment NPD Authorized official

Specialty

Qualified Audiologist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1376500413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 W PARK DR STE 108",
            "city": "N WILKESBORO",
            "state": "NC",
            "postal_code": "286593777",
            "telephone_number": "336-838-7758",
            "fax_number": "336-838-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 W PARK DR STE 108",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593777",
            "telephone_number": "336-838-7758",
            "fax_number": "336-838-9790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "826 Marshall St",
            "address_purpose": "LOCATION",
            "city": "Mount Airy",
            "state": "NC",
            "postal_code": "270304460",
            "country_code": "US",
            "telephone_number": "336-838-7758",
            "fax_number": "336-838-9790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "113 Scenic Outlet Ln Ste 2",
            "address_purpose": "LOCATION",
            "city": "Mount Airy",
            "state": "NC",
            "postal_code": "270309978",
            "country_code": "US",
            "telephone_number": "336-673-3125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOFFITT",
        "first_name": "BRIAN",
        "middle_name": "DAVID",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2021-03-31",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "6885",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NC",
            "license": "6885",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "6885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Reynolds Minton, MS CCC-SLP
• Penny Minton, R.PH.
• MJ Mayhew PA
• Modlin & Londry VI DDS PLLC
• Moffitt Audiology, PLLC
• Ashton Vishnu Molai, D.O
• Amber Marie Moodie-Dyer
• Lynne A Moree, LPC
• Taylor Moree, RD, LD, LMBT
• Charles Thomas Mullis

• All providers in North Wilkesboro, NC
• Audiologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.