Organization Active NPI

Valleydale Hearing & Balance Center

  • Audiologist
  • Birmingham, AL
National Provider Identifier
1790958924
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
672A Issued in AL
Legal business name
VALLEYDALE HEARING & BALANCE CENTER
Practice address
250 Inverness Center Dr.
Suite C
Birmingham, AL 35242
Phone
(205) 936-3001
NPI assigned
Apr 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Dr. Robert Dick McClung, AU.D.NPI 1427239789
Title
Audiologist
Phone
(205) 936-3001

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
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 672A AL Primary

Addresses

Primary practice location

250 Inverness Center Dr.
Suite C
Birmingham, AL 35242

Mailing address

250 Inverness Center Dr.
Suite C
Birmingham, AL 35242
Phone (205) 936-3001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080609000002 AL Part B Supplier - Clinic/Group Practice 8628148335 Receives reassigned benefits from 2 practitioners
Practice locations: Birmingham, AL

National Provider Directory

National Provider Directory

Locations

250 Inverness Center Dr
Ste C
Birmingham, AL 35242
Phone (205) 936-3001

244 Inverness Center Dr
Ste 100
Birmingham, AL 35242
Phone (205) 637-0731

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1790958924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 INVERNESS CENTER DR.",
            "address_2": "SUITE C",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35242",
            "telephone_number": "205-936-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 INVERNESS CENTER DR.",
            "address_2": "SUITE C",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35242",
            "telephone_number": "205-936-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEYDALE HEARING & BALANCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "MCCLUNG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DICK",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "205-936-3001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "AL",
            "license": "672A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.