Individual provider Active NPI

Brooke E Jennings, AUD

  • Audiologist
  • Greenville, SC
National Provider Identifier
1871333096
Registry record updated May 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
7969 Issued in SC
Practice address
25 Woods Lake Rd Ste 401
Greenville, SC 29607-2763
Phone
(864) 770-8822
Fax
(864) 770-8882
NPI assigned
May 27, 2024
Last updated
May 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 7969 SC Primary

Addresses

Primary practice location

25 Woods Lake Rd Ste 401
Greenville, SC 29607-2763

Mailing address

25 Woods Lake Rd Ste 401
Greenville, SC 29607-2763
Phone (864) 770-8822

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240530001031 SC Practitioner - Qualified Audiologist 2567804982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upstate Hearing and Balance LLCGroup PAC ID 9133513237, 2 clinicians

Practice addresses (Care Compare)

25 Woods Lake Rd
Suite 401
Greenville, SC 29607-2763
Phone (864) 770-8822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Hearing and Balance LLC Audiologist CurrentSince Jun 17, 2024 Accepting new patients

Locations

25 Woods Lake Rd
Ste 401
Greenville, SC 29607
Phone (803) 528-7069

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716768000000",
    "number": "1871333096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WOODS LAKE RD STE 401",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072763",
            "telephone_number": "864-770-8822",
            "fax_number": "864-770-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WOODS LAKE RD STE 401",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072763",
            "telephone_number": "864-770-8822",
            "fax_number": "864-770-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "BROOKE",
        "middle_name": "E",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "SC",
            "license": "7969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2024; 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.