MR. BRADLY J EDGERTON (NPI# 1861587891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861587891 |
| Entity Type | Individual |
| Full Name | MR. BRADLY J EDGERTON |
| Credential | PH.D., CCC-A |
| Practice Address |
1405 Se 164th Ave Ste 102 Vancouver WA 98683-9644 |
| Practice Telephone | 3602564425 |
| Practice Fax Number | 3602607249 |
| Mailing Telephone | 3602564425 |
| Mailing Fax Number | 3602607249 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2014-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | LD00001333 | WA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 182440 | 05 | |
| WA | AETNA | 4520896 | 01 |
| WA | 9059056 | 05 | |
| WA | WA DEPT OF L&I | 0117625 | 01 |
| WA | WA CRIME VICTIMS | 8935297 | 01 |
| Street Address |
1405 SE 164TH AVE STE 102 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98683-9644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790745933 | Adam Spach Wilson | Otolaryngology | 1405 Se 164th Ave Ste 102, Vancouver, WA 98683-9644 | 2006-03-23 |
| 1598850455 | Joseph Goyzman | Audiologist | 1405 Se 164th Ave Ste 102, Vancouver, WA 98683-9644 | 2006-10-04 |
| 1265527162 | Vancouver Ent and Ent of The Northwest Pllc | Clinic/Center | 1405 Se 164th Ave Ste 102, Vancouver, WA 98683-9644 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235761222 | Nathaniel James Eugene Powell | Behavior Technician | 4101se 192nd Ave, Ste 101, Vancouver, WA 98683 | 2020-02-07 |
| 1295294973 | Ubmhc1, LLC | Clinical Medical Laboratory | 18110 Southeast 34th St, Building 2, Suite 240, Vancouver, WA 98683 | 2019-03-13 |
| 1982116695 | Amy K Adams | Massage Therapist | 2716 Se 169th Ave, X-232, Vancouver, WA 98683 | 2017-11-03 |
| 1477088920 | Alexandra Ransonet | Dental Hygienist | 19111 Se 34th. St., Vancouver, WA 98683 | 2017-04-21 |
| 1639618630 | Digestive Gi Care | Internal Medicine | 305 Sw Chkalov Dr, 111-140, Vancouver, WA 98683 | 2017-02-23 |
| 1447706742 | Jennifer Horst | Massage Therapist | 3401 Se 192nd. Ave. Suite 107, Vancouver, WA 98683 | 2016-08-28 |
| 1154702728 | Kacie Marie Hamreus | Physician Assistant | 3101 Se 192nd Avenue, Vancouver, WA 98683 | 2015-06-09 |
| 1851782338 | Kathryn Wiedeman | Physical Therapy Assistant | 801 Se Park Crestt Ave, Vancouver, WA 98683 | 2015-02-05 |
| 1407255326 | Jesse Ryan Moses | Dentist | 16600 Se 15th Street, Suite A, Vancouver, WA 98683 | 2014-08-15 |
| 1366869893 | Stephen J Wold II | Podiatrist | 16701 Ne Mcgillivray Blvd, Ste 220, Vancouver, WA 98683 | 2014-03-21 |
| Find all providers in zip 98683 | ||||
| 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 |
|---|---|---|---|---|
| 1780034637 | Kristen Furseth | Audiologist | 14602 Ne Fourth Plain Blvd, Suite H, Vancouver, WA 98682-5000 | 2016-06-21 |
| 1871932418 | Lisa Batterton | Audiologist | 203 Se Park Plaza Dr Ste 290, Vancouver, WA 98684-3401 | 2013-06-17 |
| 1588810238 | R.j.s. Acoustic Services, Inc | Audiologist | 12313 Ne 99th St, Vancouver, WA 98682-2418 | 2008-08-13 |
| 1942410634 | Jeffrey Lee Garnett | Audiologist | 16209 Se Mcgillivray Blvd, Suite M, Vancouver, WA 98683-9034 | 2007-05-23 |
| 1316423064 | Hearing Center of Vancouver LLC | Audiologist | 16320 Se Mill Plain Blvd Ste 103, Vancouver, WA 98684-8918 | 2018-07-16 |
| 1487171070 | Nicole Renee Fox | Audiologist | 14411 Ne 20th Ave Ste 101, Vancouver, WA 98686-6432 | 2017-08-24 |
| 1033520754 | Kalani Jane Cox | Audiologist | 611 Grand Blvd, Vancouver, WA 98661-4918 | 2014-05-15 |
| 1649521899 | Jeffrey Lee Garnett | Audiologist | 16209 Se Mcgillivray Blvd, Ste M, Vancouver, WA 98683-9034 | 2012-09-27 |
| 1194094979 | Christopher Kyle Cox | Audiologist | 11201 Ne 9th St, Ste 300, Vancouver, WA 98684-5964 | 2011-12-22 |
| 1497054290 | Caitlin Jean Fernhoff | Audiologist | 501 Se 172nd Ave, Vancouver, WA 98684-9542 | 2011-03-18 |
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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.