Organization Active NPI

Bangor Audiology PC

  • Audiologist
  • Bangor, ME
National Provider Identifier
1578438693
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
BANGOR AUDIOLOGY PC
Practice address
546 Broadway
Bangor, ME 04401-3338
Phone
(207) 814-0588
NPI assigned
Oct 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Rebecca RancourtNPI 1770046393
Title
Owner
Phone
(207) 814-0588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X Primary
Hearing Instrument SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 237700000X

Addresses

Primary practice location

546 Broadway
Bangor, ME 04401-3338

Mailing address

546 Broadway
Bangor, ME 04401-3338

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260226002928 ME Part B Supplier - Clinic/Group Practice 4385125392 Receives reassigned benefits from 3 practitioners
Practice locations: Bangor, ME

National Provider Directory

National Provider Directory

Locations

875 Hammond St
Bangor, ME 04401
Phone (207) 814-0588

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1578438693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 BROADWAY",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 BROADWAY",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013338",
            "telephone_number": "207-814-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANGOR AUDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "RANCOURT",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-814-0588"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.