Active NPI
Max R Mabry, CCC/FA
- Audiologist
- Bluefield, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2201001323
- Practice address
- 1242 Hockman Pike
Bluefield, VA 24605-9351 - Phone
- (276) 326-3890
- Fax
- (276) 322-1514
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2201001323 | VA | Primary |
Addresses
Primary practice location
1242 Hockman Pike
Bluefield, VA 24605-9351
Mailing address
208 Highland Ave
Princeton, WI 24740
Phone (304) 425-8058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2216 S Kanawha St
Beckley, WV 25801-6720
Phone (304) 255-6310
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenbrier Audiology, Inc. | Audiologist | Current | Accepting new patients |
| Appalachian Hearing and Balance | Audiologist | Past | Accepting new patients |
| Southeastern Ear, Nose & Throat | Past | Accepting new patients | |
| Greenbrier Audiology and Hearing Aid Services, Inc. | Audiologist | Past | Accepting new patients |
Locations
2216 S Kanawha St
Beckley, WV 25801
Phone (304) 255-6310
1404 Robert C Byrd Dr
Ste 204
Crab Orchard, WV 25827
206 Dawkins Dr
Lewisburg, WV 24901
Phone (304) 647-4327
Organizations & group practices 4
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.
-
- Audiologist
- Beckley, WV
- NPI 1710321377
-
- Audiologist
- Bluefield, VA
- NPI 1326227679
-
- Audiologist
- Lewisburg, WV
- NPI 1114006087
-
dba Nashville Ear, Nose & Throat
- Specialist
- Nashville, TN
- NPI 1437216256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730271834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 HIGHLAND AVE",
"city": "PRINCETON",
"state": "WI",
"postal_code": "24740",
"telephone_number": "304-425-8058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1242 HOCKMAN PIKE",
"city": "BLUEFIELD",
"state": "VA",
"postal_code": "246059351",
"telephone_number": "276-326-3890",
"fax_number": "276-322-1514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MABRY",
"first_name": "MAX",
"middle_name": "R",
"credential": "CCC/FA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "VA",
"license": "2201001323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bluefield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.