Active NPI
The Beaufort Sound
- Audiologist
- Beaufort, SC
National Provider Identifier
1427562289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- SC3979
- Legal business name
- THE BEAUFORT SOUND
- Practice address
- 206 Sea Island Pkwy Ste 31
Beaufort, SC 29907-1526 - Phone
- (770) 845-0751
- NPI assigned
- Nov 30, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lawrence E Bridge, AUD
- Title
- Owner / Audiologist
- Phone
- (770) 845-0751
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | SC3979 | SC | Primary |
Addresses
Primary practice location
206 Sea Island Pkwy Ste 31
Beaufort, SC 29907-1526
Mailing address
206 Sea Island Pkwy Ste 31
Beaufort, SC 29907-1526
Phone (770) 845-0751
Other names 1
- THE BEAUFORT SOUND, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Beaufort, SC
- NPI 1548597669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512000000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1512000000000",
"number": "1427562289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 SEA ISLAND PKWY STE 31",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299071526",
"telephone_number": "770-845-0751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 SEA ISLAND PKWY STE 31",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299071526",
"telephone_number": "770-845-0751"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE BEAUFORT SOUND",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-30",
"last_updated": "2017-11-30",
"status": "A",
"authorized_official_last_name": "BRIDGE",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER / AUDIOLOGIST",
"authorized_official_telephone_number": "770-845-0751",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AUD"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": "SC",
"license": "SC3979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "THE BEAUFORT SOUND, LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.