Individual provider Active NPI

Deborah L Berndtson, AU.D., CCC-A

  • Audiologist-Hearing Aid Fitter
  • College Park, MD
National Provider Identifier
1972550200
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
01187 Issued in MD
Practice address
100 Lefrak Hall
University of Maryland
College Park, MD 20742-8211
Phone
(301) 405-5562
Fax
(301) 314-2023
NPI assigned
May 30, 2006
Last updated
Aug 17, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 01187 MD Primary

Addresses

Primary practice location

100 Lefrak Hall
University of Maryland
College Park, MD 20742-8211

Mailing address

100 Lefrak Hall
University of Maryland
College Park, MD 20742-8211
Phone (301) 405-5562

Other identifiers 1

IdentifierTypeStateIssuer
010240557MedicaidVA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
01187MDMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Sonus-USA, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients
Sonus-USA, Inc Audiologist-Hearing Aid Fitter Past Accepting new patients
Comptroller of Maryland Central Payroll Bureau Past Accepting new patients

Organizations & group practices 3

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1972550200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LEFRAK HALL",
            "address_2": "UNIVERSITY OF MARYLAND",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207428211",
            "telephone_number": "301-405-5562",
            "fax_number": "301-314-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LEFRAK HALL",
            "address_2": "UNIVERSITY OF MARYLAND",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207428211",
            "telephone_number": "301-405-5562",
            "fax_number": "301-314-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNDTSON",
        "first_name": "DEBORAH",
        "middle_name": "L",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MD",
            "license": "01187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010240557",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.