NPIMap

Organization Active NPI

Bristol Regional Speech & Hearing Center

  • Hearing and Speech Clinic/Center
  • Bristol, VA
National Provider Identifier
1902063472
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
BRISTOL REGIONAL SPEECH & HEARING CENTER
Practice address
359 Commonwealth Ave Ste 100
Bristol, VA 24201-3867
Phone
(276) 669-6331
Fax
(276) 669-2950
NPI assigned
May 21, 2008
Last updated
Jul 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Sharon Elaine Rock
Title
Executive Director
Phone
(276) 669-6331

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary
Audiologist 231H00000X
Assistive Technology Practitioner Audiologist 231HA2400X
Audiologist-Hearing Aid Fitter 237600000X

Addresses

Primary practice location

359 Commonwealth Ave Ste 100
Bristol, VA 24201-3867

Mailing address

359 Commonwealth Ave Ste 100
Bristol, VA 24201-3867
Phone (276) 669-6331

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070521000513 VA Part B Supplier - Clinic/Group Practice 0042313058 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Bristol, VA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

103 North St
Ste B
Bristol, VA 24201
Phone (276) 669-6331

2603 Osborne St
#1
Bristol, VA 24201
Phone (276) 669-6331

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1902063472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 COMMONWEALTH AVE STE 100",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013867",
            "telephone_number": "276-669-6331",
            "fax_number": "276-669-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 COMMONWEALTH AVE STE 100",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013867",
            "telephone_number": "276-669-6331",
            "fax_number": "276-669-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL REGIONAL SPEECH & HEARING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "ROCK",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "276-669-6331"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.