Organization Active NPI

Robert L B Stevenson

  • Audiologist-Hearing Aid Fitter
  • Logan, UT
National Provider Identifier
1740526425
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
ROBERT L B STEVENSON
Practice address
293 S Main St
Logan, UT 84321-5203
Phone
(435) 753-4133
Fax
(435) 753-7364
NPI assigned
Dec 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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

Authorized official

Name
Robert StevensonNPI 1184631525
Title
Owner
Phone
(435) 753-4133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X Primary

Addresses

Primary practice location

293 S Main St
Logan, UT 84321-5203

Mailing address

293 S Main St
Logan, UT 84321-5203
Phone (435) 753-4133

Other names 1

  • BRIDGERLAND AUDIOLOGY & HEARING AID Doing business as

National Provider Directory

National Provider Directory

Locations

293 S Main St
Logan, UT 84321
Phone (435) 753-4133

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1740526425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 S MAIN ST",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843215203",
            "telephone_number": "435-753-4133",
            "fax_number": "435-753-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 S MAIN ST",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843215203",
            "telephone_number": "435-753-4133",
            "fax_number": "435-753-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L B STEVENSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-27",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-753-4133"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIDGERLAND AUDIOLOGY & HEARING AID",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.