Active NPI
Brent P. Bourret, HAD
- Hearing Instrument Specialist
- High Point, NC
National Provider Identifier
1851670806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 1340
- Practice address
- 206 Gatewood Ave
High Point, NC 27262-4820 - Phone
- (336) 794-1293
- NPI assigned
- Aug 9, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | NC | ||
| Hearing Instrument Specialist | 237700000X | 1340 | NC | Primary |
Addresses
Primary practice location
206 Gatewood Ave
High Point, NC 27262-4820
Mailing address
8800 SE Sunnyside Rd Ste 300N
Clackamas, OR 97015-5703
Phone (281) 286-2999
Other practice location 1
3333 Brookview Hills Blvd
Suite 109
Winston Salem, NC 27103-5661
Phone (336) 794-1293
Other practice location 2
3333 Brookview Hills Blvd
Suite 109
Winston Salem, NC 27103-5661
Phone (336) 794-1293
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1340 | NC | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bourret Inc | Hearing Instrument Specialist | Past | Accepting new patients |
| Northland Hearing Centers, Inc. | Hearing Instrument Specialist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba NuEar Hearing Center
- Hearing Aid Equipment
- Winston Salem, NC
- NPI 1770958605
Hearing Instrument Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1851670806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8800 SE SUNNYSIDE RD STE 300N",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155703",
"telephone_number": "281-286-2999",
"fax_number": "512-607-4893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 GATEWOOD AVE",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272624820",
"telephone_number": "336-794-1293"
}
],
"practiceLocations": [
{
"address_1": "3333 Brookview Hills Blvd",
"address_2": "Suite 109",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271035661",
"country_code": "US",
"telephone_number": "336-794-1293",
"fax_number": "336-760-3436",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3333 Brookview Hills Blvd",
"address_2": "Suite 109",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271035661",
"country_code": "US",
"telephone_number": "336-794-1293",
"fax_number": "336-760-3436",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOURRET",
"first_name": "BRENT",
"middle_name": "P.",
"credential": "HAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-09",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NC",
"license": "1340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.