Bountiful Hearing Center, PLLC

Primary specialty

Hearing Aid EquipmentTaxonomy code 332S00000X

License

1077444101 Issued in UT

Legal business name

BOUNTIFUL HEARING CENTER, PLLC

Practice address

425 Medical Dr
Suite 200
Bountiful, UT 84010-4945

Phone

(801) 295-9644

Fax

(801) 299-1498

NPI assigned

Jan 19, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Harold R Pergler, MCD, CCC-A

Title

Owner/Audiologist

Phone

(801) 295-9644

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bountiful Hearing Center Former legal business name

Locations

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1740511518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 MEDICAL DR",
            "address_2": "SUITE 200",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104945",
            "telephone_number": "801-295-9644",
            "fax_number": "801-299-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 MEDICAL DR",
            "address_2": "SUITE 200",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104945",
            "telephone_number": "801-295-9644",
            "fax_number": "801-299-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNTIFUL HEARING CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "PERGLER",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
        "authorized_official_telephone_number": "801-295-9644",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MCD, CCC-A"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "UT",
            "license": "1077444101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528688202012",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bountiful Hearing Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Hearing Aid Equipment in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Hearing Aid Equipment in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.