BROADWATER HEARING CARE INC
NPI 1467641167
Clinic/Center - Hearing and Speech in St Petersburg, FL

Active since October 18, 2007
5999 CENTRAL AVE STE 105, ST PETERSBURG, FL 33710(727) 323-2471(727) 323-3577 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Broadwater Hearing Care Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROADWATER HEARING CARE INC (NPI 1467641167) is a healthcare organization registered as a hearing and speech in St Petersburg, Florida and active in the NPI registry since October 2007. The organization lists Susan E Terry, President, as its authorized official.

NPPES Registry Identity

NPI1467641167
Entity TypeOrganization
Primary Taxonomy261QH0700X
Legal Business NameBROADWATER HEARING CARE INC
Location Address5999 CENTRAL AVE STE 105St Petersburg, FL 33710-8535
Mailing Address5999 Central Ave Ste 105St Petersburg, FL 33710-8535 · (727) 323-2471 · Fax (727) 323-3577
Fax(727) 323-3577
Organization SubpartNo
Authorized OfficialSusan E TerryPresident · (727) 323-2471
Enumeration DateOctober 18, 2007
Last NPPES UpdateFebruary 13, 2026
NPPES CertifiedFebruary 13, 2026
✔ NPI 1467641167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Hearing and SpeechAmbulatory Health Care Facilities
Taxonomy Code261QH0700X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability.
5999 CENTRAL AVE STE 105, St Petersburg, FL 33710

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Broadwater Hearing Care Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Broadwater Hearing Care Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Qualified Audiologist
NPI 1629127451
4107 5TH AVENUE N.
St Petersburg, FL 33711
(727) 323-2471
✔ Accepts Medicare1.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broadwater Hearing Care Inc's NPI number?

The NPI number for Broadwater Hearing Care Inc is 1467641167. It was assigned to this organization in the NPPES registry on October 18, 2007.

Where is Broadwater Hearing Care Inc located?

Broadwater Hearing Care Inc is located at 5999 Central Ave Ste 105, St Petersburg, FL 33710. The listed phone number is (727) 323-2471.

What is Broadwater Hearing Care Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Hearing and Speech, with taxonomy code 261QH0700X.

Is Broadwater Hearing Care Inc enrolled in Medicare?

Yes. Broadwater Hearing Care Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Broadwater Hearing Care Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Qualified Audiologist) reassigns their Medicare billing to Broadwater Hearing Care Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Broadwater Hearing Care Inc was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.