Active NPI
BCC Audiology LLC
- Audiologist
- Bethesda, MD
National Provider Identifier
1821853011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Legal business name
- BCC AUDIOLOGY LLC
- Practice address
- 4300 Montgomery Ave Ste 104
Bethesda, MD 20814-4412 - Phone
- (202) 302-6573
- NPI assigned
- Feb 16, 2024
- Last updated
- Sep 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yvonne M Bennett
- Title
- Provider
- Phone
- (202) 302-6573
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
4300 Montgomery Ave Ste 104
Bethesda, MD 20814-4412
Mailing address
4512 N Chelsea LN
Bethesda, MD 20814-4749
Phone (202) 853-6267
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7625 Wisconsin Ave
Bethesda, MD 20814
Phone (202) 302-6573
Practitioners & affiliated clinicians
Practitioners 1
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": "1708041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727654400000",
"number": "1821853011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4512 N CHELSEA LN",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208144749",
"telephone_number": "202-853-6267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 MONTGOMERY AVE STE 104",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208144412",
"telephone_number": "202-302-6573"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BCC AUDIOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-16",
"last_updated": "2024-09-30",
"certification_date": "2024-09-20",
"status": "A",
"authorized_official_last_name": "BENNETT",
"authorized_official_first_name": "YVONNE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "202-302-6573"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.