Bradly J Edgerton in Vancouver - Audiologist
Bradly J Edgerton - NPI 1861587891
Bradly J Edgerton is a Audiologist in Vancouver, Washington. Bradly J Edgerton practices all healthcare services and medical treatments related to Audiologist. The NPI Number for Bradly J Edgerton is 1861587891. The last update date is 2014-07-17.
Bradly J Edgerton's current location address is 1405 Se 164th Ave Ste 102, Vancouver, Washington. You can contact this provider via phone number 3602564425 and fax number 3602607249. The mailing address for Bradly J Edgerton is 1405 Se 164th Ave Ste 102, Vancouver, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradly J Edgerton |
|---|---|
| Address | 1405 Se 164th Ave Ste 102, Vancouver, Washington |
| Phone Number | 3602564425 |
| Fax Number | 3602607249 |
| Sole Proprietor | N |
| Credentials | PH.D., CCC |
NPI Number Detail
| NPI Number | 1861587891 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2014-07-17 |
Provider Mailing Address Detail
| Address | 1405 Se 164th Ave Ste 102 |
|---|---|
| City | Vancouver |
| State | Washington (WA) |
| Post Code | 986839644 |
| Phone Number | 3602564425 |
| Fax Number | 3602607249 |
Provider's Primary Taxonomy Detail
| Speciality | Audiologist |
|---|---|
| Taxonomy | 231H00000X |
| Licence No | LD00001333 |
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Definition: (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 auditor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8935297 | WA | WA CRIME VICTIMS | |
| 117625 | WA | WA DEPT OF L&I | |
| 182440 | OR | -- | |
| 4520896 | WA | AETNA | |
| 9059056 | WA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Bradly J Edgerton?
The Bradly J Edgerton has been issued the NPI (National Provider Identifier) 1861587891 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Bradly J Edgerton?
The Bradly J Edgerton is physically situated at 1405 Se 164Th Ave Ste 102, in the city of Vancouver, state of WA, with the postal code 986839644.
What is Bradly J Edgerton's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bradly J Edgerton is Audiologist, and the taxonomy code that classifies this field of practice is 231H00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1861587891 to Bradly J Edgerton?
The Bradly J Edgerton received its 1861587891 assignment from the Centers for Medicare & Medicaid Services on 2006-10-04.
As of what date was the information pertaining to Bradly J Edgerton, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bradly J Edgerton, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-07-17.