Individual provider Active NPI

David S. Robinson, AU.D

  • Audiologist
  • Brockton, MA
National Provider Identifier
1639583016
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
SP-1036-AU. Issued in MA
Practice address
35 Pearl St Ste 100
Brockton, MA 02301
Phone
(508) 588-8034
Fax
(508) 897-0475
NPI assigned
Jun 13, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X SP-1036-AU. MA Primary

Addresses

Primary practice location

35 Pearl St Ste 100
Brockton, MA 02301

Mailing address

35 Pearl St Ste 100
Brockton, MA 02301-1195
Phone (508) 588-8034

Other practice location 1

75 Washington St Ste 1600
Taunton, MA 02780-2429
Phone (508) 880-3460

Other practice location 2

188 Washington St
Plainville, MA 02762-1301
Phone (508) 699-1701

Other practice location 3

825 Washington St Ste 310
Norwood, MA 02062-3481
Phone (781) 769-8910

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141028002319 MA Practitioner - Qualified Audiologist 3173744547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT Specialists, IncGroup PAC ID 0648353888, 20 clinicians

Practice addresses (Care Compare)

825 Washington St
Suite 310
Norwood, MA 02062-3481
Phone (781) 769-8910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP-1036-AU.MAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Norwood LLC CurrentSince Dec 3, 2018 Accepting new patients
ENT Specialists, Inc CurrentSince Dec 1, 2015 Accepting new patients

Locations

35 Pearl St
Ste 100
Brockton, MA 02301
Phone (508) 588-8034

333 Elm St
Dedham, MA 02026
Phone (781) 214-6590

825 Washington St
Ste 310
Norwood, MA 02062
Phone (508) 880-3460

188 Washington St
Plainville, MA 02762
Phone (508) 699-1701

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFADAA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1639583016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 PEARL ST STE 100",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011195",
            "telephone_number": "508-588-8034",
            "fax_number": "508-588-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 PEARL ST STE 100",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02301",
            "telephone_number": "508-588-8034",
            "fax_number": "508-897-0475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Washington St Ste 1600",
            "address_purpose": "LOCATION",
            "city": "Taunton",
            "state": "MA",
            "postal_code": "027802429",
            "country_code": "US",
            "telephone_number": "508-880-3460",
            "fax_number": "508-880-5335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "188 Washington St",
            "address_purpose": "LOCATION",
            "city": "Plainville",
            "state": "MA",
            "postal_code": "027621301",
            "country_code": "US",
            "telephone_number": "508-699-1701",
            "fax_number": "508-699-1706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 Washington St Ste 310",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "MA",
            "postal_code": "020623481",
            "country_code": "US",
            "telephone_number": "781-769-8910",
            "fax_number": "781-255-9844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "DAVID",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-13",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "SP-1036-AU.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.