MR. ROBERT R BROECKERT (NPI# 1750308649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750308649 |
| Entity Type | Individual |
| Full Name | MR. ROBERT R BROECKERT |
| Credential | MS CCC-A |
| Practice Address |
4650 W Spencer St Suite 31 Appleton WI 54914-9106 |
| Mailing Address |
1501 S Clara St Appleton WI 54915-4061 |
| Practice Telephone | 9207381819 |
| Mailing Telephone | 9202130767 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2020-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 190-156 | WI | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41128800 | 05 |
| Street Address |
4650 W SPENCER ST SUITE 31 |
| City | APPLETON |
| State | WI |
| Zip Code | 54914-9106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164449831 | Hearing Clinics of Wisconsin, Inc | Audiologist-Hearing Aid Fitter | 4650 W Spencer St, Suite 31, Appleton, WI 54914-9106 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572429 | Claire Schuh | Social Worker | 3416 Association Ln, Appleton, WI 54914 | 2020-09-09 |
| 1568099729 | Access Elevator, Inc. | Contractor | 1314 W. College Ave, Appleton, WI 54914 | 2020-03-26 |
| 1124677885 | Sharon Darla Cornell | Technician | 3117 N. Mistwood Lane, Appleton, WI 54914 | 2019-09-05 |
| 1235647793 | Midwest Monitoring, LLC | Psychiatry & Neurology | 4321 W College Ave Ste 200, Appleton, WI 54914 | 2018-01-18 |
| 1356863252 | Uvanta Pharmacy LLC | Pharmacy | 1050 S Grider St, Suite C, Appleton, WI 54914 | 2017-07-12 |
| 1255860912 | Appleton Counseling Management LLC | Counselor | 477 S Nicolet Rd., Appleton, WI 54914 | 2017-06-07 |
| 1609269489 | Shane Scott Urban | Social Worker | 444 N. Westhill Blvd., Appleton, WI 54914 | 2015-03-18 |
| 1699184580 | Michelle Becker | Nurse Practitioner | 4435 West Lawrence St., Appleton, WI 54914 | 2014-08-05 |
| 1972857514 | Jean Flesch | Pharmacist | 1000 W. Northland Ave., Appleton, WI 54914 | 2012-11-05 |
| 1477845147 | Mallory Barbara Herrin | Counselor | 820 W. College Ave, Appleton, WI 54914 | 2011-05-12 |
| Find all providers in zip 54914 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (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. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073866224 | Connect Hearing, Inc. | Audiologist | 128 W Sorenson Ave, Appleton, MN 56208-4505 | 2012-10-24 |
| 1598890139 | Barbara Jean Johnson | Audiologist | 506 E Longview Dr Ste A, Appleton, WI 54911-2105 | 2007-02-23 |
| 1023153251 | Peter John Zellmer | Audiologist | 1336 E Wisconsin Ave, Appleton, WI 54911-3969 | 2007-02-21 |
| 1083105530 | Audiology and Hearing Services of The Fox Cities | Audiologist | 2245 S Oneida St, Appleton, WI 54915 | 2018-05-21 |
| 1194177683 | Brittany Uitenbroek | Audiologist | W3124 Van Roy Rd, Appleton, WI 54915 | 2016-07-07 |
| 1770972697 | Kyle Martell | Audiologist | 1336 E Wisconsin Ave, Appleton, WI 54911-3969 | 2015-01-15 |
| 1497063515 | Thomas Robert Parry | Audiologist | 2245 S Oneida St, Appleton, WI 54915-1657 | 2010-09-23 |
| 1861725418 | Stacey D Dimond | Audiologist | 1440 Oneida St, N, Appleton, WI 54915-7101 | 2009-09-15 |
| 1336314814 | Stephanie Roberts Long | Audiologist | W3124 Van Roy Rd, Appleton, WI 54915-3982 | 2008-04-25 |
| 1407055528 | Jacqueline Nicole Maxam | Audiologist | 1520 N Meade St, Appleton, WI 54911-3762 | 2007-07-18 |
| Find all providers in APPLETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.