Jeff Lee Broy

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

2767 Issued in IL

Practice address

1805 W Main St
Marion, IL 62959-1157

Phone

(618) 998-1689

Fax

(618) 998-1789

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Northland Hearing Centers, Inc.

  • Hearing Instrument Specialist
  • Marion, IL
  • NPI 1144274259
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497761464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 W MAIN ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591157",
            "telephone_number": "618-998-1689",
            "fax_number": "618-998-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 W MAIN ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591157",
            "telephone_number": "618-998-1689",
            "fax_number": "618-998-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROY",
        "first_name": "JEFF",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IL",
            "license": "2767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Rose Brown, RN
• Shelley J Brown, MD
• Terry Michael Brown, DO
• Tiffany A Brown, MD
• Viola Brown, BS MHP
• Mark Allen Bruce
• Shay Hannah Bruno, BSW
• Buehler Wellness Center Inc.
• Maria Buehler
• Tim Buehler, LCPC

• Hearing Instrument Specialist in Marion, IL
• Providers in Marion, IL by specialty
• Hearing Instrument Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.