Individual provider Active NPI

Brock Ronald Sturlaugson, AU.D.

  • Audiologist
  • Lone Tree, CO
National Provider Identifier
1770864183
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
636 Issued in CO
Practice address
9894 Rosemont Ave
Ste 104
Lone Tree, CO 80124-4102
Phone
(303) 792-9932
Fax
(303) 792-9936
NPI assigned
Aug 31, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 636 CO Primary

Addresses

Primary practice location

9894 Rosemont Ave
Ste 104
Lone Tree, CO 80124-4102

Mailing address

8321 Sangre de Cristo Rd
Ste 202
Littleton, CO 80127-6425
Phone (303) 984-4414

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130709000248 CO Practitioner - Qualified Audiologist 2860632296 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
636COMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Distribution, LLC CurrentSince Oct 15, 2024 Accepting new patients
Hearx West, LLC Past Accepting new patients

Locations

7850 Vance Dr
Ste 195
Arvada, CO 80003
Phone (303) 432-3601

7200 S Alton Way
Ste B140
Centennial, CO 80112
Phone (303) 649-2122

112 W Spencer Ave
Gunnison, CO 81230
Phone (800) 734-2877

8321 Sangre de Cristo Rd
Ste 202
Littleton, CO 80127
Phone (303) 984-4414

7325 S Pierce St
Ste 100
Littleton, CO 80128
Phone (303) 933-0017

9894 Rosemont Ave
Ste 104
Lone Tree, CO 80124
Phone (303) 792-9932

618 East Star Ct
Montrose, CO 81401
Phone (970) 249-3971

11400 N Jog Rd
Ste 200
Palm Beach Gardens, FL 33418

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1770864183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8321 SANGRE DE CRISTO RD",
            "address_2": "STE 202",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801276425",
            "telephone_number": "303-984-4414",
            "fax_number": "303-984-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9894 ROSEMONT AVE",
            "address_2": "STE 104",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801244102",
            "telephone_number": "303-792-9932",
            "fax_number": "303-792-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURLAUGSON",
        "first_name": "BROCK",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-31",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.