Bde LLC
NPI 1629680863ActiveOrganization· Audiologist· King Of Prussia, PA
Audiologist in King Of Prussia, Pennsylvania, registered in NPPES in August 2020. The authorized official on file is Kyle Lance, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629680863 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 19, 2020 |
| Last updated in NPPES | Feb 25, 2026 |
| Certified by provider | Feb 25, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | — | — |
| Physical Therapist | 225100000X | — | — |
| Clinic/Center, Physical Therapy | 261QP2000X | — | — |
| Hearing Aid Equipment | 332S00000X | — | — |
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 Part B Supplier - Clinic/Group Practice (PA) |
|---|
Other Audiologist providers in King Of Prussia
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