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NPI Code Detail

MEDICARE: DR. BRIAN KEITH ERGLE AU.D.

MEDICARE: DR. BRIAN KEITH ERGLE AU.D.
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
1231H00000XAudiologist51486TX
2231H00000XAudiologist5652NC
3231H00000XAudiologistA2835MS
4231H00000XAudiologist817AAL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
151007364OTHERALBCBS OF ALABAMA
27401171OTHERALAETNA
3631209505OTHERALTRI-CARE
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922001643
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN KEITH ERGLE AU.D.
Provider Business Mailing Address
First Line : 245 CAHABA VALLEY PKWY
Second Line : SUITE 200
City : PELHAM
State : AL
Zip : 35124-2216
Country : US
Telephone Number : 800-379-0309
Fax Number : 205-942-5627
Provider Business Practice Location Address
First Line : 245 CAHABA VALLEY PKWY
Second Line : SUITE 200
City : PELHAM
State : AL
Zip : 35124-2216
Country : US
Telephone Number : 800-379-0309
Fax Number : 205-942-5627
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 05/19/2008

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