Active NPI
Christine Janet Brengman, CCC-A
- Audiologist
- Saginaw, MI
National Provider Identifier
1760577431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1601000030
- Practice address
- 2135 Brenner St
Saginaw, MI 48602-3628 - Phone
- (989) 791-2100
- Fax
- (989) 791-2323
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 1601000030 | MI | Primary |
Addresses
Primary practice location
2135 Brenner St
Saginaw, MI 48602-3628
Mailing address
2042 E Hotchkiss Rd
Bay City, MI 48706-9083
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4700562 | Medicaid | MI | |
| 4700526 | Medicaid | MI | |
| 3500137 | Medicaid | MI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1601000030 | MI | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204675200000",
"number": "1760577431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2042 E HOTCHKISS RD",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487069083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2135 BRENNER ST",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486023628",
"telephone_number": "989-791-2100",
"fax_number": "989-791-2323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENGMAN",
"first_name": "CHRISTINE",
"middle_name": "JANET",
"credential": "CCC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2008-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MI",
"license": "1601000030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4700562",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4700526",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3500137",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.