Provider Demographics
NPI:1700843877
Name:BRINGMAN, NORMAN A (MA)
Entity Type:Individual
Prefix:
First Name:NORMAN
Middle Name:A
Last Name:BRINGMAN
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19000 LAKE RD. SUITE 5609
Mailing Address - Street 2:
Mailing Address - City:ROCKY RIVER
Mailing Address - State:OH
Mailing Address - Zip Code:44116
Mailing Address - Country:US
Mailing Address - Phone:440-212-0627
Mailing Address - Fax:
Practice Address - Street 1:19000 LAKE RD APT 5609
Practice Address - Street 2:
Practice Address - City:ROCKY RIVER
Practice Address - State:OH
Practice Address - Zip Code:44116-1761
Practice Address - Country:US
Practice Address - Phone:440-212-0627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH01961231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1298052OtherUNITED MINE WORKERS
OH34-163590900OtherBWC PROVIDER NUMBER
OH03631OtherHEAR USA
OH000000135687OtherANTHEM, BCBS
OH100837OtherKAISER
OH0412726Medicaid
OH0412726Medicaid
OH000000135687OtherANTHEM, BCBS
OH34-163590900OtherBWC PROVIDER NUMBER