Active NPI
Bradley Steven Ridgeway, H.A.D.
- Hearing Instrument Specialist
- Shelbyville, IN
National Provider Identifier
1396829305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 17001166A
- Practice address
- 504 Saraina Rd
Shelbyville, IN 46176-1892 - Phone
- (317) 392-9246
- Fax
- (317) 392-9246
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 17001166A | IN | Primary |
Addresses
Primary practice location
504 Saraina Rd
Shelbyville, IN 46176-1892
Mailing address
504 Saraina Rd
Shelbyville, IN 46176-1892
Phone (317) 392-9246
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17001166A | IN | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1396829305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 SARAINA RD",
"city": "SHELBYVILLE",
"state": "IN",
"postal_code": "461761892",
"telephone_number": "317-392-9246",
"fax_number": "317-392-9246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 SARAINA RD",
"city": "SHELBYVILLE",
"state": "IN",
"postal_code": "461761892",
"telephone_number": "317-392-9246",
"fax_number": "317-392-9246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDGEWAY",
"first_name": "BRADLEY",
"middle_name": "STEVEN",
"name_prefix": "Mr.",
"credential": "H.A.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IN",
"license": "17001166A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelbyville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.