Active NPI
Brian Keith Ergle, AU.D.
- Audiologist
- Pelham, AL
National Provider Identifier
1922001643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 817A
- Practice address
- 245 Cahaba Valley Pkwy
Suite 200
Pelham, AL 35124-2216 - Phone
- (800) 379-0309
- Fax
- (205) 942-5627
- NPI assigned
- May 27, 2005
- Last updated
- May 19, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 51486 | TX | |
| Audiologist | 231H00000X | 5652 | NC | |
| Audiologist | 231H00000X | A2835 | MS | |
| Audiologist | 231H00000X | 817A | AL | Primary |
Addresses
Primary practice location
245 Cahaba Valley Pkwy
Suite 200
Pelham, AL 35124-2216
Mailing address
245 Cahaba Valley Pkwy
Suite 200
Pelham, AL 35124-2216
Phone (800) 379-0309
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009815580 | Medicaid | AL | |
| 631209505 | Other | AL | TRI-CARE |
| 51007364 | Other | AL | BCBS OF ALABAMA |
| 7401171 | Other | AL | AETNA |
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 |
|---|---|---|---|
| 5652 | NC | MD | Chiropractor |
| 817A | AL | MD | Audiologist |
| A2835 | MS | MD | Audiologist |
| 51486 | TX | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Hearing Services, Inc. | Audiologist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Audiologist
- Tuscaloosa, AL
- NPI 1992802110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1922001643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 CAHABA VALLEY PKWY",
"address_2": "SUITE 200",
"city": "PELHAM",
"state": "AL",
"postal_code": "351242216",
"telephone_number": "800-379-0309",
"fax_number": "205-942-5627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 CAHABA VALLEY PKWY",
"address_2": "SUITE 200",
"city": "PELHAM",
"state": "AL",
"postal_code": "351242216",
"telephone_number": "800-379-0309",
"fax_number": "205-942-5627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERGLE",
"first_name": "BRIAN",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "51486",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "5652",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MS",
"license": "A2835",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AL",
"license": "817A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009815580",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRI-CARE",
"identifier": "631209505",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ALABAMA",
"identifier": "51007364",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7401171",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pelham, AL
- Eminence Urgent Care LLC
- Encompass Health Rehabilitation Hospital of Shelby County, LLC (Encompass Health Rehabilitation Hospital of Shelby County)
- Encore Rehabilitation, Inc (Encore Rehab of Pelham)
- Enhance Dental LLC
- Jamie Epperson, LICSW
- Nasrollah Eslami, MD
- Eunoia Counseling & Consulting LLC.
- Dalton Blake Evans, RBT
- Emily Eversull, M.S.CCC-SLP
- Eyecare Associates, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.