Bryan James Greenaway, AU.D.
NPI 1629476825ActiveIndividual· Audiologist· Gresham, OR
Audiologist (AU.D.) in Gresham, Oregon, licensed in OR, with an NPI issued in December 2014. Enrolled in Medicare as practitioner - qualified audiologist.
Overview
| NPI | 1629476825 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AU.D. |
| Sole proprietor | Yes |
| NPI issued | Dec 21, 2014 |
| Last updated in NPPES | Oct 27, 2026 |
| Certified by provider | Oct 27, 2026 |
| Reactivated | Sep 5, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | 30954 | OR |
| Audiologist-Hearing Aid Fitter | 237600000X | 030954 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Audiologist (OR) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Qualified Audiologist |
Other Audiologist providers in Gresham
- 1467521583
- 1376205278
- 1871792580