Provider Demographics
NPI:1306990775
Name:HILEMAN, BRANDI S (AUD)
Entity type:Individual
Prefix:MS
First Name:BRANDI
Middle Name:S
Last Name:HILEMAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:BRANDI
Other - Middle Name:S
Other - Last Name:NICKEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1513 E PHEASANT RUN ST
Mailing Address - Street 2:
Mailing Address - City:DERBY
Mailing Address - State:KS
Mailing Address - Zip Code:67037-3635
Mailing Address - Country:US
Mailing Address - Phone:316-259-3908
Mailing Address - Fax:
Practice Address - Street 1:1726 E WALNUT GROVE RD STE 300
Practice Address - Street 2:
Practice Address - City:DERBY
Practice Address - State:KS
Practice Address - Zip Code:67037-3538
Practice Address - Country:US
Practice Address - Phone:316-252-8233
Practice Address - Fax:316-453-3487
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1138237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200420510AMedicaid
KS110173152Medicare PIN