DR. BRUCE M EDWARDS (NPI# 1750389136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750389136 |
| Entity Type | Individual |
| Full Name | DR. BRUCE M EDWARDS |
| Credential | AU.D. |
| Practice Address |
1500 East Medical Center Dr 1st Floor Taubman Center Recp A Ann Arbor MI 48109-5312 |
| Mailing Address |
3621 South State Street 700 Kms Place Ann Arbor MI 48108 |
| Practice Telephone | 7349368051 |
| Practice Fax Number | 7349368052 |
| Mailing Telephone | 7349362047 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2013-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 1601000035 | MI | Speech, Language and Hearing Service Providers |
| N | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639410178 | Bruce D Edwards | Dentist | 2115 M-119, Petoskey, MI 49770 | 2013-03-08 |
| 1174729305 | Bruce W Edwards | Dentist | 270 26th St Ste 302, Santa Monica, CA 90402-2567 | 2007-06-25 |
| 1477635357 | Bruce L Edwards | Allergy & Immunology | 321 Crossways Park Dr Ste 1a, Woodbury, NY 11797-2066 | 2006-10-19 |
| 1992080345 | Bruce R Edwards | Pharmacist | 390 E 162nd St, South Holland, IL 60473-2141 | 2011-10-17 |
| 1366761488 | Bruce Daniel Edwards IIi | Community Health Worker | 500 Hospital Dr, Warrenton, VA 20186-3027 | 2010-05-28 |
| 1457451387 | Bruce Marshall Edwards | Nurse Anesthetist, Certified Registered | 835 S Van Buren St, Green Bay, WI 54301 | 2006-09-22 |
| 1316049935 | Bruce Leon Edwards | Counselor | 124 Mallard Street, Greenville, SC 29601-4046 | 2006-09-03 |
| 1851352298 | Bruce N Edwards | Orthopaedic Surgery | 11110 Medical Campus Rd, Suite 205, Hagerstown, MD 21742-6700 | 2006-03-28 |
| 1245224781 | Bruce Monroe Edwards | Preventive Medicine | 16528 E Desmet Ct, Spokane Valley, WA 99216-3522 | 2005-09-09 |
| Street Address |
1500 EAST MEDICAL CENTER DR 1ST FLOOR TAUBMAN CENTER RECP A |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-5312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063417731 | Daniel William Berland | Internal Medicine | 1500 East Medical Center Dr, 3rd Floor Taubman Ctr Recp B, Ann Arbor, MI 48109-5352 | 2005-06-17 |
| 1770105405 | Emily Ager | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Dr, B1-380 Taubman Center, Ann Arbor, MI 48109-5305 | 2020-05-15 |
| 1922668987 | Matthew James Wolf | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-06-20 |
| 1235799644 | Helen Elizabeth Mulcahy | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-06-18 |
| 1679133490 | Alexander Charles Waselewski | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-06-14 |
| 1043870868 | Danielle Rose Vanbeckum | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-06-14 |
| 1881254621 | Megan Kathryn Zakerski | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-06-14 |
| 1104484625 | Alicia Isabelle Rolin | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-05-30 |
| 1417515933 | Kristen Elizabeth Unsicker | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-05-30 |
| 1760040273 | Katie Christine Ramos | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-05-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
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| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992085286 | Susan Zimmerman-phillips | Audiologist | 1320 Brooklyn Ave, Ann Arbor, MI 48104-4415 | 2011-08-18 |
| 1033352158 | Sara Joanne Hieber | Audiologist | 203 S. Zebb Rd., Suite 207, Ann Arbor, MI 48103 | 2009-04-20 |
| 1144478207 | Suparna Shetty Malhotra | Audiologist | 1500 E Medical Center Dr Spc 5312, 1904 Taubman Center, Ann Arbor, MI 48109-5312 | 2008-09-03 |
| 1396940508 | Anthony Augustus Muraski | Audiologist | 3830 Warren Court, Ann Arbor, MI 48105 | 2007-06-18 |
| 1992318919 | Batoul Berri | Audiologist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-08-28 |
| 1063038453 | Jacinto Thomas Fragoso | Audiologist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-06-22 |
| 1437790565 | Gabrielle Suzette Watson | Audiologist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2019-09-30 |
| 1326699018 | Katie Lynn Schramm | Audiologist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2019-09-24 |
| 1639722531 | Rachel Valerie Fryatt | Audiologist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2019-07-19 |
| 1225697501 | Lindsay Marie Koehler | Audiologist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2019-06-10 |
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| 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.