BRENDEN C BAGNOLI


Address: 2600 N Wyatt Dr, Tucson, AZ 85712-6106
Phone: 5203245437

BRENDEN C BAGNOLI (NPI# 1730747569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730747569
Entity Type Individual
Full Name BRENDEN C BAGNOLI
Credential AUD.
Practice Address 2600 N Wyatt Dr
Tucson
AZ 85712-6106
Mailing Address 5755 E River Rd Apt 3603
Tucson
AZ 85750-6729
Practice Telephone 5203245437
Mailing Telephone 4803588175
Enumeration Date 2019-06-05
Last Update Date 2019-06-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 231H00000X Audiologist DA11835 AZ Speech, Language and Hearing Service Providers

Office Location

Street Address 2600 N WYATT DR
City TUCSON
State AZ
Zip Code 85712-6106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962401513 Edith Proctor Bailey Pediatrics 2600 N Wyatt Dr, Children's Clinics, Tucson, AZ 85712-6106 2005-07-16
1245840255 Anne Rebecca Aldrich Physical Therapist 2600 N Wyatt Dr, Tucson, AZ 85712-6106 2020-08-04
1144841149 Rachel Kristine Fisher Occupational Therapist 2600 N Wyatt Dr, Tucson, AZ 85712-6106 2020-04-30
1962044818 Amelia Clare Lanning Physical Therapist 2600 N Wyatt Dr, Tucson, AZ 85712-6106 2019-10-11
1114587250 Lauren Schenk Speech-Language Pathologist 2600 N Wyatt Dr, Tucson, AZ 85712-6106 2019-06-20
1376000786 Children's Clinics for Rehabilitative Services Clinic/Center 2600 N Wyatt Dr, Tucson, AZ 85712-6106 2019-02-22
1477020733 Denali Anne Jepsen Physical Therapist 2600 N Wyatt Dr, Tucson, AZ 85712-6106 2018-10-25
1801398441 Sanam Mallik Behavior Technician 2600 N Wyatt Dr, Tucson, AZ 85712-6106 2018-02-28
1598284176 Caroline Ure Madsen Speech-Language Pathologist 2600 N Wyatt Dr, Tucson, AZ 85712-6106 2017-09-14
1154841328 Keli Marie Perino Dietitian, Registered 2600 N Wyatt Dr, Tucson, AZ 85712-6106 2017-06-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871104950 Nancy Rae Klug Registered Nurse 2380 N Ferguson Ave., Tucson, AZ 85712 2020-08-12
1013525534 James Tutu Fiske I Nurse Practitioner 5700 E. Pima Street Suite C., Tucson, AZ 85712 2020-07-21
1063031953 Mehera Tiffanie Hormuz Student in an Organized Health Care Education/Training Program 5301 E. Grant Rd., Tucson, AZ 85712 2020-04-10
1770133282 Elizabeth Nadeschzda Lowell Nurse Practitioner 4881 E Grant Road, Suite 101, Tucson, AZ 85712 2019-09-17
1174185649 Pisa Asc Holdco LLC Clinic/Center 4741 E Camp Lowell Drive, Tucson, AZ 85712 2019-07-03
1548821838 Painted Sky Healthcare, Inc. Hospice Care, Community Based 2980 N Swan Rd Ste 222, Tucson, AZ 85712 2019-06-26
1558925644 Helen Jane Lyall Registered Nurse Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 2019-04-24
1760953541 Anna Marissa Ramirez Nurse Practitioner 5170 E Glenn St Ste 160, Tucson, AZ 85712 2018-12-05
1407343841 Imran Ata Md Pllc Internal Medicine 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 2018-04-20
1003322926 Millennium Acupuncture Acupuncturist 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 2017-12-15
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Taxonomy Information

Taxonomy Code 231H00000X
Grouping Speech, Language and Hearing Service Providers
Classification Audiologist

Taxonomy Definition

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235748443 Sarah Morris Audiologist 3505 N Campbell Ave Ste 507, Tucson, AZ 85719-2033 2020-07-24
1326480088 Stacey I Trepanier Audiologist 6518 E Carondelet Dr, Tucson, AZ 85710-2117 2013-07-23
1619314028 Karla Janet Navarro Audiologist 338 E Delano St, Tucson, AZ 85705-3908 2013-05-24
1942466743 Abel Smith Audiologist 6565 E Carondelet Dr Ste 300, Tucson, AZ 85710-2158 2008-07-31
1053509679 University of Arizona Audiologist 1131 E. 2nd Street, Tucson, AZ 85721 2007-10-09
1255456836 Tucson Audiology Institute, Inc Audiologist 5625 E Grant Rd, Tucson, AZ 85712-2211 2007-03-20
1306961651 Lynne Marie Bremer Audiologist Arizona State Schools for The Deaf and The Blind, 1200 W Speedway Blvd, Tucson, AZ 85745 2007-03-19
1710010533 Alana Angelina Kent Audiologist 310 N Wilmot Rd Ste 210, Tucson, AZ 85711 2007-03-13
1871637546 Frances P Harris Audiologist 2566 W Wayward Wind Way, Tucson, AZ 85745-3559 2007-02-16
1265583942 Ronnie Conour Audiologist 4404 E Grant Rd, Tucson, AZ 85712-2615 2007-01-16
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Competitor

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City TUCSON
Zip Code 85712

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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