Organization Active NPI

CT Bravo, Inc.

Doing business as Beltone Hearing Aid Center

  • Hearing Aid Equipment
  • Martinez, GA
National Provider Identifier
1902084536
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
HADS000775 Issued in GA
Legal business name
CT BRAVO, INC.
Doing business as
Beltone Hearing Aid Center
Practice address
4210 Columbia Road
BLDG. 5, Suite B
Martinez, GA 30907
Phone
(706) 364-3184
Fax
(706) 364-3187
NPI assigned
Feb 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Authorized official

Name
Mr. Colin Thomas Riordan, MBA,NPI 1316182587
Title
President
Phone
(706) 364-3184

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X HADS000775 GA Primary

Addresses

Primary practice location

4210 Columbia Road
BLDG. 5, Suite B
Martinez, GA 30907

Mailing address

4210 Columbia Rd
BLDG. 5, Suite B
Martinez, GA 30907-0401
Phone (706) 364-3184

Other names 1

  • Beltone Hearing Aid Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beltone Hearing Aid Center Anderson3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4210 Columbia Rd
Ste 5B
Martinez, GA 30907
Phone (706) 364-3184

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1902084536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 COLUMBIA RD",
            "address_2": "BLDG. 5, SUITE B",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309070401",
            "telephone_number": "706-364-3184",
            "fax_number": "706-364-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 COLUMBIA ROAD",
            "address_2": "BLDG. 5, SUITE B",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "30907",
            "telephone_number": "706-364-3184",
            "fax_number": "706-364-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT BRAVO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "RIORDAN",
        "authorized_official_first_name": "COLIN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-364-3184",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA,"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "GA",
            "license": "HADS000775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beltone Hearing Aid Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martinez, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.