Organization Active NPI

Brevard Hearing Center of North Carolina PLLC

  • Audiologist
  • Brevard, NC
National Provider Identifier
1467082669
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
BREVARD HEARING CENTER OF NORTH CAROLINA PLLC
Practice address
424 S Caldwell St
Brevard, NC 28712-3904
Phone
(828) 966-4327
NPI assigned
Jan 16, 2020
Last updated
Jan 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Authorized official

Name
Casey Elaine Pencek, AU.D.NPI 1356722490
Title
Owner/Provider
Phone
(828) 490-8776

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 Primary

Addresses

Primary practice location

424 S Caldwell St
Brevard, NC 28712-3904

Mailing address

236 Spicewood LN
Hendersonville, NC 28791-1343
Phone (859) 753-8812

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1467082669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 SPICEWOOD LN",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287911343",
            "telephone_number": "859-753-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 S CALDWELL ST",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123904",
            "telephone_number": "828-966-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREVARD HEARING CENTER OF NORTH CAROLINA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "PENCEK",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "828-490-8776",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brevard, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.