Individual provider Active NPI

Bruce Kerr Chatterton, M.A.

  • Audiologist
  • Mooresville, NC
National Provider Identifier
1760537823
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
7372 Issued in NC
Practice address
584 Brawley School Rd
Suite 103
Mooresville, NC 28117-8158
Phone
(704) 660-9188
Fax
(704) 663-3778
NPI assigned
Jan 25, 2007
Last updated
Jan 13, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 7372 NC Primary

Addresses

Primary practice location

584 Brawley School Rd
Suite 103
Mooresville, NC 28117-8158

Mailing address

PO Box 406153
Atlanta, GA 30384-1876
Phone (561) 478-8770

Other identifiers 1

IdentifierTypeStateIssuer
7412973MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7372NCMDGeneral Practice Dentistry
846CAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Hearusa Inc Past Accepting new patients
Audiology Distribution, LLC Past Accepting new patients
Hearx West Inc PastSince Mar 28, 2018 Accepting new patients
Audchek, Inc Past Accepting new patients
Charlotte Audiology Services Audiologist Past Accepting new patients

Organizations & group practices 5

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1760537823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 406153",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303841876",
            "telephone_number": "561-478-8770",
            "fax_number": "561-598-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 BRAWLEY SCHOOL RD",
            "address_2": "SUITE 103",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178158",
            "telephone_number": "704-660-9188",
            "fax_number": "704-663-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATTERTON",
        "first_name": "BRUCE",
        "middle_name": "KERR",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "7372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7412973",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.