Excel Heaing Center LLC

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

Legal business name

EXCEL HEAING CENTER LLC

Practice address

7763 N Heathgrass LN
Coeur D Alene, ID 83815-7969

Phone

(208) 449-6404

NPI assigned

Jan 21, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey James Brogan, HISNPI 1356180921

Title

Registered Agent

Phone

(435) 592-3347

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey James Brogan

  • Hearing Instrument Specialist
  • Hayden, ID
  • NPI 1356180921
  NPD Authorized official

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1407668015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 W PRAIRIE SHOPPING CTR # 129",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359855",
            "telephone_number": "208-449-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7763 N HEATHGRASS LN",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838157969",
            "telephone_number": "208-449-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL HEAING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "BROGAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "435-592-3347",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "HIS"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lance William Fagan, O.D.
• Kathleen Fairbanks, LCSW
• Walter Raymond Fairfax, MD
• Peter Faletto, PT

• All providers in Coeur D Alene, ID
• Hearing Instrument Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.