MEDICARE: DR. ABIGAIL GRACE BRAZDA AUD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237600000X	Audiologist-Hearing Aid Fitter	30005135	NC
2	231H00000X	Audiologist	30005135	NC

General Provider Information

NPI Number	:	1760314256
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABIGAIL GRACE BRAZDA AUD

Provider Business Mailing Address
First Line	:	5041 EXECUTIVE DR STE 100
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-2507
Country	:	US
Telephone Number	:	252-773-0636
Fax Number	:	877-771-3406

Provider Business Practice Location Address
First Line	:	5041 EXECUTIVE DR STE 100
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-2507
Country	:	US
Telephone Number	:	252-773-0636
Fax Number	:	877-771-3406

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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