MR. DAVID W BROCKETT (NPI# 1821128216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821128216 |
Entity Type | Individual |
Full Name | MR. DAVID W BROCKETT |
Credential | BC-HIS |
Practice Address |
3000 Nw Stewart Pkwy Roseburg OR 97471-1655 |
Mailing Address |
8800 Se Sunnyside Rd. Ste. 300-n Clackamas OR 97015-5738 |
Practice Telephone | 5416731785 |
Practice Fax Number | 5413456315 |
Mailing Telephone | 2812862999 |
Mailing Fax Number | 5126074893 |
Enumeration Date | 2007-03-06 |
Last Update Date | 2018-01-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 237600000X | Audiologist-Hearing Aid Fitter | OR | Speech, Language and Hearing Service Providers | |
Y | 237700000X | Hearing Instrument Specialist | HAS-P-824882 | OR | Speech, Language and Hearing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 212936 | 05 | |
FEDERAL WORKERS COMP | 2432417000 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588162994 | David Brockett | Counselor | 20800 Westgate Mall Ste 200, Fairview Park, OH 44126-1318 | 2018-01-31 |
1538525035 | David E Brockett | Dentist | 7776 Ivanhoe Ave Ste 100, La Jolla, CA 92037-4575 | 2016-01-13 |
Street Address |
3000 NW STEWART PKWY |
City | ROSEBURG |
State | OR |
Zip Code | 97471-1655 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205162237 | Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 3000 Nw Stewart Pkwy, Roseburg, OR 97471-1655 | 2009-10-27 |
1902046022 | Vicky M Geyer | Hearing Instrument Specialist | 3000 Nw Stewart Pkwy, Roseburg, OR 97471-1655 | 2009-03-02 |
1700058153 | David Steinbach | Hearing Instrument Specialist | 3000 Nw Stewart Pkwy, Suite 102, Roseburg, OR 97470-1655 | 2008-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841805660 | Rae Ann Barnes | Pharmacist | 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 | 2020-09-09 |
1023651031 | Colton Phillips | Behavioral Analyst | 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 | 2019-10-22 |
1952884876 | Meredith Krugel Lcsw PC | Clinic/Center | 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 | 2018-09-07 |
1114456563 | Philip Kaser Family, LLC | Pharmacy | 1175 W. Harvard Avenue, Roseburg, OR 97471 | 2017-06-08 |
1053854208 | Icco LLC | Clinic/Center | 1740 Nw Goetz Street, Roseburg, OR 97471 | 2016-11-21 |
1770034589 | Evie Jepsen | Case Manager/Care Coordinator | 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 | 2016-10-17 |
1932551256 | Jonathan Schmidt | Licensed Practical Nurse | 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 | 2016-07-11 |
1932580586 | Jeffrey Mark Wareham | Case Manager/Care Coordinator | 2700 Medical Loop, Annex B, Roseburg, OR 97471 | 2015-06-09 |
1558784215 | Ginger Jean Thibedeau | Massage Therapist | 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 | 2014-01-30 |
1427303122 | Karishma Parekh | Internal Medicine | 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 | 2012-07-18 |
Find all providers in zip 97471 |
Taxonomy Code | 237700000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Hearing Instrument Specialist |
Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487607933 | Kathleen Geyer | Hearing Instrument Specialist | 2285 Nw Stewart Pkwy, Suite 100, Roseburg, OR 97470-5559 | 2006-05-18 |
1902046022 | Vicky M Geyer | Hearing Instrument Specialist | 3000 Nw Stewart Pkwy, Roseburg, OR 97471-1655 | 2009-03-02 |
1700058153 | David Steinbach | Hearing Instrument Specialist | 3000 Nw Stewart Pkwy, Suite 102, Roseburg, OR 97470-1655 | 2008-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982233250 | Jenessa Bolenbaugh | Hearing Instrument Specialist | 3250 Hillcrest Park Dr Ste 102, Medford, OR 97504-7684 | 2020-04-07 |
1144851270 | Katie Cason | Hearing Instrument Specialist | 369 S Columbia River Hwy, Saint Helens, OR 97051-6203 | 2020-01-28 |
1619533346 | Carolina Ruvalcaba Lozano | Hearing Instrument Specialist | 1301 Evergreen Rd Ste 120, Woodburn, OR 97071-2802 | 2019-05-17 |
1629538608 | Shawn Michael Feddersen | Hearing Instrument Specialist | 1020 Green Acres Rd #8, Eugene, OR 97408 | 2019-03-25 |
1457818080 | Emma Elizabeth Britten | Hearing Instrument Specialist | 401 E 10th Ave Ste 110, Eugene, OR 97401-3356 | 2019-03-01 |
1295201341 | Alyssa M Bartlett | Hearing Instrument Specialist | 2100 Ne Broadway St Ste 305, Portland, OR 97232-1570 | 2018-10-16 |
1801377171 | Brandon Ray Johnston | Hearing Instrument Specialist | 2285 Highway 101 Ste M, Florence, OR 97439-9722 | 2018-08-24 |
1013498377 | Best for Hearing | Hearing Instrument Specialist | 2285 Highway 101, Ste. M, Florence, OR 97439-9743 | 2018-08-24 |
1508358466 | Richard Ernest Swanson | Hearing Instrument Specialist | 1400 Executive Pkwy Ste 330, Eugene, OR 97401-7121 | 2018-06-05 |
1235656265 | Jacob Paul Tauzin | Hearing Instrument Specialist | 5455 Se 91st Ave, Portland, OR 97266-4603 | 2017-08-30 |
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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.