Individual provider Active NPI

Bengt Ericsson, B.C.-H.I.S.

  • Hearing Instrument Specialist
  • Bradenton, FL
National Provider Identifier
1851615231
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
AS3904 Issued in FL
Practice address
1719 Lakewood Ranch Blvd
Bradenton, FL 34211-4906
Phone
(941) 744-0900
Fax
(941) 744-0925
NPI assigned
Mar 15, 2010
Last updated
Mar 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X AS3904 FL Primary

Addresses

Primary practice location

1719 Lakewood Ranch Blvd
Bradenton, FL 34211-4906

Mailing address

1719 Lakewood Ranch Blvd
Bradenton, FL 34211-4906
Phone (941) 744-0900

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

State licenses

LicenseStateTypeSpecialty
AS3904FLMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1851615231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 LAKEWOOD RANCH BLVD",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342114906",
            "telephone_number": "941-744-0900",
            "fax_number": "941-744-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 LAKEWOOD RANCH BLVD",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342114906",
            "telephone_number": "941-744-0900",
            "fax_number": "941-744-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICSSON",
        "first_name": "BENGT",
        "name_prefix": "Mr.",
        "credential": "B.C.-H.I.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS3904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.