Active NPI
Bobby Dean Houlditch II
- Hearing Instrument Specialist
- Brunswick, GA
National Provider Identifier
1467898452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HADS000881
- Practice address
- 2007 Parkwood Dr
Coastal Hearing and Balance
Brunswick, GA 31520-4701 - Phone
- (912) 267-1400
- NPI assigned
- May 16, 2013
- Last updated
- May 16, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HADS000881 | GA | Primary |
Addresses
Primary practice location
2007 Parkwood Dr
Coastal Hearing and Balance
Brunswick, GA 31520-4701
Mailing address
2007 Parkwood Dr
Coastal Hearing and Balance
Brunswick, GA 31520-4701
Phone (912) 267-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HADS000881 | GA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing Care Resources, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hearing and Speech Clinic/Center
- Lake City, FL
- NPI 1073582060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368662400000",
"number": "1467898452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2007 PARKWOOD DR",
"address_2": "COASTAL HEARING AND BALANCE",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315204701",
"telephone_number": "912-267-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2007 PARKWOOD DR",
"address_2": "COASTAL HEARING AND BALANCE",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315204701",
"telephone_number": "912-267-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOULDITCH",
"first_name": "BOBBY",
"middle_name": "DEAN",
"name_prefix": "Mr.",
"name_suffix": "II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-16",
"last_updated": "2013-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "GA",
"license": "HADS000881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brunswick, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.