Organization Active NPI

The Beaufort Sound

  • Audiologist
  • Beaufort, SC
National Provider Identifier
1427562289
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
SC3979 Issued in SC
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

Updated by the provider on Nov 30, 2017

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

Authorized official

Name
Dr. Lawrence E Bridge, AUDNPI 1548597669
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)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180112000737 SC Part B Supplier - Clinic/Group Practice 7719246024 Receives reassigned benefits from 1 practitioner
Practice locations: Beaufort, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.