Broadwater Hearing Care Inc

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

BROADWATER HEARING CARE INC

Practice address

5999 Central Ave Ste 105
St Petersburg, FL 33710-8535

Phone

(727) 323-2471

Fax

(727) 323-3577

NPI assigned

Oct 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Susan E Terry, AUDNPI 1629127451

Title

President

Phone

(727) 323-2471

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Susan E Terry, AU.D.

  • Audiologist
  • St Petersburg, FL
  • NPI 1629127451
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1467641167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5999 CENTRAL AVE STE 105",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108535",
            "telephone_number": "727-323-2471",
            "fax_number": "727-323-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5999 CENTRAL AVE STE 105",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108535",
            "telephone_number": "727-323-2471",
            "fax_number": "727-323-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWATER HEARING CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-323-2471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Bristol, PHARM.D.
• Yudianela Caridad Brito Garcia
• Camilla P Brito, PA-C
• Shawn Britt, LCSW
• Beverly Broadnax
• Brock and Harrison Services, LLC
• Jeanine Brock, COTA/L
• John C Brock, MD
• Molly M Brock
• Andrea R Brockman, N.C.C., L.M.H.C.

• Hearing and Speech Clinic/Center in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Hearing and Speech Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.