Organization Active NPI

Ear Technology Inc.

  • Specialist
  • Ogden, UT
National Provider Identifier
1942481338
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4827256-4101 Issued in UT
Legal business name
EAR TECHNOLOGY INC.
Practice address
3955 Harrison Blvd
Suite U7
Ogden, UT 84403-2313
Phone
(801) 399-9955
Fax
(801) 399-3144
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Authorized official

Name
Kerry Braunberger, AU.D.NPI 1710985965
Title
Doctor of Audiology
Phone
(801) 399-9955

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 4827256-4101 UT Primary

Addresses

Primary practice location

3955 Harrison Blvd
Suite U7
Ogden, UT 84403-2313

Mailing address

3955 Harrison Blvd
Suite U7
Ogden, UT 84403-2313
Phone (801) 399-9955

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040322001366 UT Part B Supplier - Clinic/Group Practice 1759272537 Receives reassigned benefits from 1 practitioner
Practice locations: South Ogden, UT

National Provider Directory

National Provider Directory

Locations

917 Country Hills Dr
Ste 5
South Ogden, UT 84403
Phone (801) 334-9785

917 Country Hills Dr
South Ogden, UT 84403
Phone (385) 758-9655

Practitioners & affiliated clinicians

Practitioners 2

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": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1942481338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 HARRISON BLVD",
            "address_2": "SUITE U7",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032313",
            "telephone_number": "801-399-9955",
            "fax_number": "801-399-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 HARRISON BLVD",
            "address_2": "SUITE U7",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032313",
            "telephone_number": "801-399-9955",
            "fax_number": "801-399-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR TECHNOLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "BRAUNBERGER",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "DOCTOR OF AUDIOLOGY",
        "authorized_official_telephone_number": "801-399-9955",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "4827256-4101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.