Susan Bergquist, MS CCA

Primary specialty

AudiologistTaxonomy code 231H00000X

License

4613

Practice address

40 Duke Medicine Cir
Clinic 1I
Durham, NC 27710-4000

Phone

(919) 684-3451

NPI assigned

Oct 13, 2006

Sex

Female

Sole proprietor

No

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.

• Heritage Audiology, PLLC

  • Hearing Instrument Specialist
  • Wake Forest, NC
  • NPI 1033767553
  Medicare reassignment NPD Authorized official NC

Medicare fee-for-service enrollment

Enrolled in NC

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 12, 2015.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1902996937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3887",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277100001",
            "telephone_number": "919-684-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 DUKE MEDICINE CIR",
            "address_2": "CLINIC 1I",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277104000",
            "telephone_number": "919-684-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGQUIST",
        "first_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "MS CCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": "4613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Arthur Stewart Bergens
• John Douglas Berger
• Catherine Ashley Bergeron, PT, DPT
• Megan Bergeron, CRC
• Stephen Patrick Bergin, M.D.
• Rebeccah Elaine Berke, AUD, CCC-A
• Matthew Graham Berkelhammer, DDS
• Michael Berkoben, M.D.
• Kate L Berlin, PH.D.
• Carmen Marie Berman

• All providers in Durham, NC
• Audiologist in North Carolina

• 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.
• 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.