Individual provider Active NPI

Brittany Marye-Elizabeth Thibodeau, AU.D.

  • Audiologist
  • North Charleston, SC
National Provider Identifier
1689160269
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
15434 Issued in NC
Practice address
2250 Mall Dr
North Charleston, SC 29406-6563
Phone
(843) 792-1414
NPI assigned
Jul 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 7935 SC
Audiologist 231H00000X 15434 NC Primary

Addresses

Primary practice location

2250 Mall Dr
North Charleston, SC 29406-6563

Mailing address

PO Box 751461
Charlotte, NC 28275-1461
Phone (843) 792-1414

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Direct@direct.misc.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NC, SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200320001046 MA Practitioner - Qualified Audiologist 0446507198
I20220713000536 NC Practitioner - Qualified Audiologist 0446507198 Reassigns benefits to 1 organization
I20230615002949 SC Practitioner - Qualified Audiologist 0446507198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 S Herlong a
Rock Hill, SC 29732-1182
Phone (803) 328-1864

6035 Fairview Rd
Charlotte, NC 28210-3256
Phone (704) 295-3000

645 Amalia St NE
Concord, NC 28025-2434
Phone (704) 295-3255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15434NCMDPediatrics Physician
2201001702VAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Atrius Health, Inc. CurrentSince Apr 1, 2020 Accepting new patients
Atrius Health, Inc. CurrentSince Apr 1, 2020 Accepting new patients
Charlotte Eye Ear Nose & Throat Associates, PA CurrentSince Jul 5, 2022 Accepting new patients
Charlotte Eye Ear Nose & Throat Associates, P.a. Audiologist CurrentSince Jul 5, 2022 Accepting new patients
Charlotte Eye Ear Nose & Throat Associates, PA PastSince Apr 13, 2025 Accepting new patients

Locations

147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

1 Lyons St
Dedham, MA 02026
Phone (781) 278-5511

1908 Hilco St
Ste A
Albemarle, NC 28001
Phone (704) 982-8686

400 Park St
Belmont, NC 28012
Phone (704) 295-3700

13532 Steelecroft Pkwy
Charlotte, NC 28278
Phone (704) 295-3475

5933 Blakeney Park Dr
Ste 200
Charlotte, NC 28277
Phone (704) 295-3311

400 E Brooklyn Village Ave
Ste A1
Charlotte, NC 28202
Phone (704) 295-3110

2325 W Arbors Dr
Ste 201
Charlotte, NC 28262
Phone (704) 295-3500

6035 Fairview Rd
Charlotte, NC 28210
Phone (336) 718-2078

645 Amalia St NE
Concord, NC 28025
Phone (704) 295-3255

10305 Hamptons Park Dr
Ste 201
Huntersville, NC 28078
Phone (704) 295-3600

724 Aubrey Bell Dr
Ste 201
Matthews, NC 28105

1632 E Roosevelt Blvd
Monroe, NC 28112
Phone (704) 295-3725

10405 Centrum Pkwy
Pineville, NC 28134
Phone (704) 295-3650

601 Sutton Rd S
Ste 201
Fort Mill, SC 29715
Phone (803) 328-1864

838 W Meeting St
Ste C
Lancaster, SC 29720
Phone (803) 286-8626

200 Herlong Ave S
Ste A
Rock Hill, SC 29732
Phone (803) 324-1028

Organizations & group practices 5

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": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1689160269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751461",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751461",
            "telephone_number": "843-792-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 MALL DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294066563",
            "telephone_number": "843-792-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODEAU",
        "first_name": "BRITTANY",
        "middle_name": "MARYE-ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "SC",
            "license": "7935",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "15434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Direct@direct.misc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2250 Mall Dr",
            "city": "North Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294066563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.