Individual provider Active NPI

Mark William Hedrick, AUD, CCC-A

  • Audiologist
  • New Braunfels, TX
National Provider Identifier
1750466157
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
80989 Issued in TX
Practice address
1529 E Common St
New Braunfels, TX 78130-3154
Phone
(830) 643-0033
NPI assigned
Oct 25, 2006
Last updated
Jun 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 80989 TX Primary

Addresses

Primary practice location

1529 E Common St
New Braunfels, TX 78130-3154

Mailing address

10760 FM 2813 Ste 100
Flint, TX 75762-3732
Phone (903) 630-1501

Other practice location 1

10760 Fm 2813 Ste 100
Flint, TX 75762-3732
Phone (903) 630-1501

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250806004007 NM Practitioner - Qualified Audiologist 2769430263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pueblo of IsletaGroup PAC ID 9739080631, 13 clinicians

Practice addresses (Care Compare)

1 Sagebrush St SW
Albuquerque, NM 87105-3942
Phone (505) 869-4463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80989TXMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo of Isleta Current Accepting new patients
Pueblo of Isleta CurrentSince May 15, 2025 Accepting new patients
Pueblo of Isleta Past Accepting new patients
Wibd--Little Rock, PLLC Audiologist Past Accepting new patients
Families Who Listen Audiologist PastSince Aug 1, 2009 Accepting new patients

Locations

1 Sagebrush St SW
Albuquerque, NM 87105
Phone (505) 869-4463

Organizations & group practices 6

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1750466157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10760 FM 2813 STE 100",
            "city": "FLINT",
            "state": "TX",
            "postal_code": "757623732",
            "telephone_number": "903-630-1501",
            "fax_number": "903-347-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 E COMMON ST",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303154",
            "telephone_number": "830-643-0033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10760 Fm 2813 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "TX",
            "postal_code": "757623732",
            "country_code": "US",
            "telephone_number": "903-630-1501",
            "fax_number": "903-347-2468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEDRICK",
        "first_name": "MARK",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "AUD, CCC-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.