Active NPI
Raymond E Bamberg, BC-HIS
- Hearing Instrument Specialist
- Las Cruces, NM
National Provider Identifier
1912915307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 290
- Practice address
- 920 N Telshor Blvd
Suite a
Las Cruces, NM 88011-8244 - Phone
- (505) 523-8816
- Fax
- (505) 522-0026
- NPI assigned
- Aug 3, 2006
- 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 | 290 | NM | Primary |
Addresses
Primary practice location
920 N Telshor Blvd
Suite a
Las Cruces, NM 88011-8244
Mailing address
920 N Telshor Blvd
Suite a
Las Cruces, NM 88011-8244
Phone (505) 523-8816
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912915307 | Other | NM | BLUE CROSS BLUE SHIELD |
| T9313 | Medicaid | NM |
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 |
|---|---|---|---|
| 290 | NM | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hear on Earth Hearing Care Center | 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
- Las Cruces, NM
- NPI 1013179209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214179200000",
"number": "1912915307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 N TELSHOR BLVD",
"address_2": "SUITE A",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118244",
"telephone_number": "505-523-8816",
"fax_number": "505-522-0026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 N TELSHOR BLVD",
"address_2": "SUITE A",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118244",
"telephone_number": "505-523-8816",
"fax_number": "505-522-0026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAMBERG",
"first_name": "RAYMOND",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "BC-HIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2008-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NM",
"license": "290",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1912915307",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T9313",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.