Active NPI
Robert Earl Pratt Jr., D.ABNM
- Audiologist
- Bryn Mawr, PA
National Provider Identifier
1376884494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT000721L
- Practice address
- 840 Montgomery Ave
Bryn Mawr, PA 19010-3344 - Phone
- (615) 345-5400
- NPI assigned
- Mar 14, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | |||
| Audiologist | 231H00000X | AT000721L | PA | Primary |
Addresses
Primary practice location
840 Montgomery Ave
Bryn Mawr, PA 19010-3344
Mailing address
3 Maryland Farms Ste 200
Brentwood, TN 37027-5780
Phone (615) 345-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56 | Other | D.ABNM |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545264000000",
"number": "1376884494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 MARYLAND FARMS STE 200",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275780",
"telephone_number": "615-345-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 MONTGOMERY AVE",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190103344",
"telephone_number": "615-345-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATT",
"first_name": "ROBERT",
"middle_name": "EARL",
"name_suffix": "Jr.",
"credential": "D.ABNM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-14",
"last_updated": "2018-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT000721L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "D.ABNM",
"identifier": "56",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Bryn Mawr, PA
- Ronald Gregory Portonova
- Michael Post, D.O.
- Stefanie Poulos-Hopkins
- Constance Gardner Powers
- Meghan Renee Prato, PSY.D.
- Danica Pratta, DPM
- Premier Orthopaedic and Sports Medicine
- Premier Orthopaedic and Sports Medicine Assoc LTD
- Premier Orthopaedic and Sports Medicine Associates, LTD
- Trevor Robert Pryce Price, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.