Individual provider Active NPI

Cynthia S Bjur, MA, CCC-A

  • Audiologist
  • Willmar, MN
National Provider Identifier
1902816465
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
7338 Issued in MN
Practice address
1801 19TH Ave SW
Willmar, MN 56201-4946
Phone
(320) 214-5772
Fax
(320) 214-5758
NPI assigned
Aug 8, 2006
Last updated
Jun 6, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 7338 MN Primary
Audiologist-Hearing Aid Fitter 237600000X 7338 MN

Addresses

Primary practice location

1801 19TH Ave SW
Willmar, MN 56201-4946

Mailing address

1801 19TH Ave SW
Janning ENT Center
Willmar, MN 56201-4946
Phone (320) 214-5772

Other identifiers 6

IdentifierTypeStateIssuer
P00100632OtherMNRAILROAD MEDICARE
45-00123OtherMNMEDICA CHOICE/SELECT CARE
49F30SWOtherMNBLUE CROSS/BLUE SHIELD
HP34525OtherMNHEALTH PARTNERS, INC
658714300MedicaidMN
45-00121OtherMNMEDICA PRIMARY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031118000325 MN Practitioner - Qualified Audiologist 7315851995 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7338MNMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services Company USA, LLC Audiologist CurrentSince Oct 10, 2023 Accepting new patients
Accuquest Hearing Center, LLC Audiologist CurrentSince Mar 29, 2021 Accepting new patients
Audiology Services Company USA, LLC CurrentSince Oct 10, 2023 Accepting new patients
Audiology Center Inc. Audiologist Past Accepting new patients

Locations

7656 Design Rd
Ste 300
Baxter, MN 56425
Phone (218) 818-1007

1130 Hennepin Ave N
Glencoe, MN 55336
Phone (320) 864-5262

4138 2nd St S
Saint Cloud, MN 56301
Phone (320) 203-1503

1305 1st St S
Ste 1
Willmar, MN 56201
Phone (320) 214-7737

2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120

Organizations & group practices 4

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1902816465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 19TH AVE SW",
            "address_2": "JANNING ENT CENTER",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014946",
            "telephone_number": "320-214-5772",
            "fax_number": "320-214-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 19TH AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014946",
            "telephone_number": "320-214-5772",
            "fax_number": "320-214-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJUR",
        "first_name": "CYNTHIA",
        "middle_name": "S",
        "credential": "MA, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MN",
            "license": "7338",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MN",
            "license": "7338",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00100632",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA CHOICE/SELECT CARE",
            "identifier": "45-00123",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "49F30SW",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS, INC",
            "identifier": "HP34525",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "658714300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA PRIMARY",
            "identifier": "45-00121",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willmar, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.