Individual provider Active NPI

Bradley Keith Pugh, MS

  • Audiologist
  • Saint Louis, MO
National Provider Identifier
1497913347
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
01415 Issued in MO
Practice address
11627 Gravois Road
Midwest Hearing Center
Saint Louis, MO 63126
Phone
(314) 729-1326
Fax
(314) 729-1056
NPI assigned
May 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 01415 MO Primary

Addresses

Primary practice location

11627 Gravois Road
Midwest Hearing Center
Saint Louis, MO 63126

Mailing address

11627 Gravois Road
Midwest Hearing Center
Saint Louis, MO 63126
Phone (314) 729-1326

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
01415MOMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Hearing Center, LLC PastSince Jan 1, 2015 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1497913347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11627 GRAVOIS ROAD",
            "address_2": "MIDWEST HEARING CENTER",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63126",
            "telephone_number": "314-729-1326",
            "fax_number": "314-729-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11627 GRAVOIS ROAD",
            "address_2": "MIDWEST HEARING CENTER",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63126",
            "telephone_number": "314-729-1326",
            "fax_number": "314-729-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGH",
        "first_name": "BRADLEY",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "01415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.