Active NPI
Brian John Eisermann
- Hearing Instrument Specialist
- Paradise, CA
National Provider Identifier
1891910501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HA2971
- Practice address
- 6032 Clark Rd
Suite C
Paradise, CA 95969-4165 - Phone
- (530) 877-3808
- Fax
- (530) 877-5764
- NPI assigned
- Apr 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HA2971 | CA | Primary |
Addresses
Primary practice location
6032 Clark Rd
Suite C
Paradise, CA 95969-4165
Mailing address
6032 Clark Rd
Suite C
Paradise, CA 95969-4165
Phone (530) 877-3808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HA2971 | Other | CA | STATE LICENSE |
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 |
|---|---|---|---|
| HA2971 | CA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brian J Eisermann | Past | Accepting new patients |
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.
-
- Hearing Aid Equipment
- Paradise, CA
- NPI 1891847927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891910501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6032 CLARK RD",
"address_2": "SUITE C",
"city": "PARADISE",
"state": "CA",
"postal_code": "959694165",
"telephone_number": "530-877-3808",
"fax_number": "530-877-5764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6032 CLARK RD",
"address_2": "SUITE C",
"city": "PARADISE",
"state": "CA",
"postal_code": "959694165",
"telephone_number": "530-877-3808",
"fax_number": "530-877-5764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISERMANN",
"first_name": "BRIAN",
"middle_name": "JOHN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "CA",
"license": "HA2971",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "HA2971",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paradise, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.