Individual provider Active NPI

Angela Bright-Pearson, AUD. CCC/A, SEP

  • Audiologist
  • Sanford, NC
National Provider Identifier
1831245315
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2443 Issued in NC
Practice address
1620 S 3Rd St
Sanford, NC 27330-5662
Phone
(919) 774-3277
Fax
(919) 774-1643
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2443 NC Primary
Speech-Language Pathologist 235Z00000X 2613 NC

Addresses

Primary practice location

1620 S 3Rd St
Sanford, NC 27330-5662

Mailing address

1620 S 3Rd St
Sanford, NC 27330-5662
Phone (919) 774-3277

Other identifiers 1

IdentifierTypeStateIssuer
7418365MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090827000321 NC Practitioner - Qualified Audiologist 0941298335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bright Audiology and Speech IncGroup PAC ID 9739177114, 2 clinicians

Practice addresses (Care Compare)

1620 S 3Rd St
Sanford, NC 27330-5662
Phone (919) 774-3277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2613NCMDClinical Psychologist
2443NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Audiology and Speech Inc. Audiologist CurrentSince Jun 13, 1997 Accepting new patients

Locations

1620 S 3rd St
Sanford, NC 27330
Phone (919) 774-3277

Organizations & group practices 1

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1831245315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 S 3RD ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305662",
            "telephone_number": "919-774-3277",
            "fax_number": "919-776-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 S 3RD ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305662",
            "telephone_number": "919-774-3277",
            "fax_number": "919-774-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGHT-PEARSON",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "AUD. CCC/A, SEP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "2443",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "2613",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7418365",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.