MR. DAVID W BROCKETT BC-HIS NPI 1821128216

NPI Information

NPI: 1821128216
Provider Name: MR. DAVID W BROCKETT, BC-HIS
Classification: Hearing Instrument Specialist - 237700000X
Entity Type: Individual
Address:
3000 NW STEWART PKWY
ROSEBURG, OR
ZIP 97471
Phone: (541) 673-1785
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MR. David W Brockett, BC-HIS is a hearing instrument specialist in Roseburg, OR. The provider is 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 MR. David W Brockett, BC-HIS NPI is 1821128216. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3000 NW STEWART PKWY
ROSEBURG, OR
ZIP 97471-655
Phone: (541) 673-1785
Fax: (541) 345-6315

The enumeration date for this NPI number is 3/6/2007 and was last updated on 1/29/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	237600000X	Audiologist-Hearing Aid Fitter			OREGON	No
2	237700000X	Hearing Instrument Specialist		HAS-P-824882	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	212936	MEDICAID	OREGON
2	2432417000	OTHER		FEDERAL WORKERS COMP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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