Brandy L Stork, H.I.S.

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

1473 Issued in WI

Practice address

5027 Green Bay Rd
Suite 104
Kenosha, WI 53144-1771

Phone

(262) 657-5350

Fax

(262) 764-0598

NPI assigned

Oct 27, 2015

Sex

Female

Sole proprietor

No

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.

• Southeast Wisconsin Hearing, LLC

  • Hearing Aid Equipment
  • Racine, WI
  • NPI 1063716165
  NPD (past)

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1619349883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 WASHINGTON AVE",
            "address_2": "SUITE 102",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534064238",
            "telephone_number": "262-637-5668",
            "fax_number": "262-637-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5027 GREEN BAY RD",
            "address_2": "SUITE 104",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441771",
            "telephone_number": "262-657-5350",
            "fax_number": "262-764-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORK",
        "first_name": "BRANDY",
        "middle_name": "L",
        "credential": "H.I.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WI",
            "license": "1473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Rose Stiefel, LCSW
• Michelle J Stock
• Cheri Stoka, RDN, CD, CLT
• Adam M Stoll, MSW, APSW
• Linda Stoltzman, ACSW,LCSW,CADCIII
• Lori Storm, LPC
• Dana Mary Stout, APNP
• Karen Beth Straka, OTR, M.S.
• Tess Marie Strangberg, MS, SLP-CF
• Estil Strawn, MD

• Hearing Instrument Specialist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Hearing Instrument Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.