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MR. BRADLY J EDGERTON PH.D. CCC-A NPI 1861587891


NPI Information

NPI: 1861587891
Provider Name: MR. BRADLY J EDGERTON, PH.D., CCC-A
Classification: Audiologist - 231H00000X
Entity Type: Individual
Address:
1405 SE 164TH AVE STE 102
VANCOUVER, WA
ZIP 98683
Phone: (360) 256-4425
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MR. Bradly J Edgerton, PH.D., CCC-A is an audiologist in Vancouver, WA. The provider is (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 auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. MR. Bradly J Edgerton, PH.D., CCC-A NPI is 1861587891. 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:

1405 SE 164TH AVE STE 102
VANCOUVER, WA
ZIP 98683-644
Phone: (360) 256-4425
Fax: (360) 260-7249

The enumeration date for this NPI number is 10/4/2006 and was last updated on 7/17/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1231H00000XAudiologistLD00001333WASHINGTONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1182440MEDICAIDOREGON
28858913MEDICARE PINWASHINGTON
3R82460MEDICARE UPINWASHINGTON
49059056MEDICAIDWASHINGTON
54520896OTHERWASHINGTONAETNA
68935297OTHERWASHINGTONWA CRIME VICTIMS
70117625OTHERWASHINGTONWA DEPT OF L&I

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: 4/28/2024

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