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NPI Code Detail

MEDICARE: BRANT AUDIOLOGY, LLC

MEDICARE: BRANT AUDIOLOGY, LLC
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
1237700000XHearing Instrument Specialist
2231HA2400XAssistive Technology Practitioner Audiologist
3237600000XAudiologist-Hearing Aid Fitter
42355A2700XAudiology Assistant
5231H00000XAudiologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700356417
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRANT AUDIOLOGY, LLC
Provider Business Mailing Address
First Line : PO BOX 21804
Second Line :
City : CHEYENNE
State : WY
Zip : 82003-7073
Country : US
Telephone Number : 307-426-4327
Fax Number : 307-426-3277
Provider Business Practice Location Address
First Line : 665 ALBANY AVE
Second Line :
City : TORRINGTON
State : WY
Zip : 82240-1530
Country : US
Telephone Number : 307-235-1901
Fax Number : 307-426-3277
Authorized Official
Title or Position : OWNER
Name : BRANT R CHRISTENSEN
Credential : AU.D.
Telephone Number : 307-426-4327
Provider Enumeration Date : 11/26/2018
Last Update Date : 05/06/2026

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