Provider Demographics
NPI:1760737555
Name:RAWLINGS, BRANDON HOUTZ (AUD)
Entity type:Individual
Prefix:
First Name:BRANDON
Middle Name:HOUTZ
Last Name:RAWLINGS
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2658 E WHITE BIRCH DR
Mailing Address - Street 2:
Mailing Address - City:EAGLE MOUNTAIN
Mailing Address - State:UT
Mailing Address - Zip Code:84005-4534
Mailing Address - Country:US
Mailing Address - Phone:801-822-4134
Mailing Address - Fax:
Practice Address - Street 1:2658 E WHITE BIRCH DR
Practice Address - Street 2:
Practice Address - City:EAGLE MOUNTAIN
Practice Address - State:UT
Practice Address - Zip Code:84005-4534
Practice Address - Country:US
Practice Address - Phone:801-822-4134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-17
Last Update Date:2025-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10205686-4101231H00000X, 231H00000X
NV235500000X235500000X
NV237600000X237600000X
NV231H00000X231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV0023-02150Medicaid
NV0023-02150Medicaid