Active NPI
Brian Ambrosius
- Hearing Instrument Specialist
- Crystal, MN
National Provider Identifier
1801216585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- Practice address
- 5640 W Broadway Ave Ste B
Crystal, MN 55428-3567 - Phone
- (715) 889-1831
- NPI assigned
- Apr 22, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | WI | Primary |
Addresses
Primary practice location
5640 W Broadway Ave Ste B
Crystal, MN 55428-3567
Mailing address
1659 N Spring St
Suite 106
Beaver Dam, WI 53916-1280
Phone (920) 219-4394
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652054400000",
"number": "1801216585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1659 N SPRING ST",
"address_2": "SUITE 106",
"city": "BEAVER DAM",
"state": "WI",
"postal_code": "539161280",
"telephone_number": "920-219-4394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5640 W BROADWAY AVE STE B",
"city": "CRYSTAL",
"state": "MN",
"postal_code": "554283567",
"telephone_number": "715-889-1831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMBROSIUS",
"first_name": "BRIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-22",
"last_updated": "2022-05-09",
"certification_date": "2022-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crystal, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.