Individual provider Active NPI

Bridgett A Alcorn, AU.D., CCC-A

  • Audiologist
  • Hebron, KY
National Provider Identifier
1629111406
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23002409A Issued in IN
Practice address
1733 Teakwood LN
Hebron, KY 41048-7003
Phone
(317) 362-5990
NPI assigned
Feb 14, 2007
Last updated
Aug 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A01766 OH
Audiologist 231H00000X 23002409A IN Primary

Addresses

Primary practice location

1733 Teakwood LN
Hebron, KY 41048-7003

Mailing address

1733 Teakwood LN
Hebron, KY 41048-7003
Phone (317) 362-5990

Other names 1

  • Dr. Bridgett A Givan Former name

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

State licenses

LicenseStateTypeSpecialty
0548KYMDRegistered Dietitian
23002409AINMDAudiologist
A01766OHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Medical, Inc. Past Accepting new patients
Onhealthcare LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1629111406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 TEAKWOOD LN",
            "city": "HEBRON",
            "state": "KY",
            "postal_code": "410487003",
            "telephone_number": "317-362-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 TEAKWOOD LN",
            "city": "HEBRON",
            "state": "KY",
            "postal_code": "410487003",
            "telephone_number": "317-362-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCORN",
        "first_name": "BRIDGETT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A01766",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002409A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGETT",
            "last_name": "GIVAN",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "AU.D., CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hebron, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.