Organization Active NPI

BCC Audiology LLC

  • Audiologist
  • Bethesda, MD
National Provider Identifier
1821853011
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Yvonne M BennettNPI 1659879666
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20241203001307 DC Part B Supplier - Clinic/Group Practice 0345775185 Receives reassigned benefits from 1 practitioner
Practice locations: Bethesda, MD

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.