Individual provider Active NPI

Bradford B Melancon, M.S., CCC-A

  • Audiologist-Hearing Aid Fitter
  • Austin, TX
National Provider Identifier
1528057833
Registry record updated Aug 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
91059 Issued in TX
Practice address
7739 Northcross Dr
Suite U
Austin, TX 78757-1700
Phone
(512) 452-9200
Fax
(512) 452-9211
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 91059 TX Primary

Addresses

Primary practice location

7739 Northcross Dr
Suite U
Austin, TX 78757-1700

Mailing address

7739 Northcross Dr
Suite U
Austin, TX 78757-1700
Phone (512) 452-9200

Other identifiers 1

IdentifierTypeStateIssuer
531515OtherTXBC/BS

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
51487TXMDPharmacist
91059TXMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Instrument Center, Inc. Past Accepting new patients
McCrae Hearing Ventures, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients
GN Hearing Dba Beltone Past Accepting new patients

Organizations & group practices 3

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251417600000",
    "number": "1528057833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7739 NORTHCROSS DR",
            "address_2": "SUITE U",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571700",
            "telephone_number": "512-452-9200",
            "fax_number": "512-452-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7739 NORTHCROSS DR",
            "address_2": "SUITE U",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571700",
            "telephone_number": "512-452-9200",
            "fax_number": "512-452-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELANCON",
        "first_name": "BRADFORD",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2009-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "91059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "531515",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; 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.