Individual provider Active NPI

Jennifer Bruser Smith, M.S. CCC-A

  • Audiologist
  • Birmingham, AL
National Provider Identifier
1477728137
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
0991A Issued in AL
Practice address
2001 Providence Park
Birmingham, AL 35242-4680
Phone
(205) 982-7220
Fax
(205) 982-7228
NPI assigned
Apr 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 0991A AL Primary
Audiologist-Hearing Aid Fitter 237600000X 0991A AL

Addresses

Primary practice location

2001 Providence Park
Birmingham, AL 35242-4680

Mailing address

2001 Providence Park
Birmingham, AL 35242-4680
Phone (205) 982-7220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080725000485 AL Practitioner - Qualified Audiologist 5991878894 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0991AALMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama ENT & Allergy, PC CurrentSince May 28, 2008 Accepting new patients

Locations

2001 Providence Park
Birmingham, AL 35242
Phone (205) 982-7220

Interoperability endpoints

  • Direct secure messaging: jennifer.smith@scottrobertsonmd.directbygreenway.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296777600000",
    "number": "1477728137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 PROVIDENCE PARK",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424680",
            "telephone_number": "205-982-7220",
            "fax_number": "205-982-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 PROVIDENCE PARK",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424680",
            "telephone_number": "205-982-7220",
            "fax_number": "205-982-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "BRUSER",
        "credential": "M.S. CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2011-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AL",
            "license": "0991A",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AL",
            "license": "0991A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.