MR. DAVID W BROCKETT


Address: 3000 Nw Stewart Pkwy, Roseburg, OR 97471-1655
Phone: 5416731785

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
OR 212936 05
FEDERAL WORKERS COMP 2432417000 01

Other Providers DAVID BROCKETT

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

Office Location

Street Address 3000 NW STEWART PKWY
City ROSEBURG
State OR
Zip Code 97471-1655

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 237700000X
Grouping Speech, Language and Hearing Service Providers
Classification Hearing Instrument Specialist

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
Find all providers with the same taxonomy

Competitor

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City ROSEBURG
Zip Code 97471

Improve Information

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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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