Individual provider Active NPI

Kerry S Braunberger, AUD

  • Specialist
  • Ogden, UT
National Provider Identifier
1710985965
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4827256-4101 Issued in UT
Practice address
3955 Harrison Blvd
Suite U7
Ogden, UT 84403-2313
Phone
(801) 399-9955
Fax
(801) 399-3144
NPI assigned
Jul 12, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4827256-4101 UT Primary

Addresses

Primary practice location

3955 Harrison Blvd
Suite U7
Ogden, UT 84403-2313

Mailing address

3955 Harrison Blvd
Suite U7
Ogden, UT 84403-2313
Phone (801) 399-9955

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041118000811 UT Practitioner - Qualified Audiologist 2860383676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

917 Country Hills Dr
South Ogden, UT 84403-2535
Phone (801) 399-9955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4827256-4101UTMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Eartech Inc Audiologist 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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1710985965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 HARRISON BLVD",
            "address_2": "SUITE U7",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032313",
            "telephone_number": "801-399-9955",
            "fax_number": "801-399-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 HARRISON BLVD",
            "address_2": "SUITE U7",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032313",
            "telephone_number": "801-399-9955",
            "fax_number": "801-399-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUNBERGER",
        "first_name": "KERRY",
        "middle_name": "S",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": "4827256-4101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.