Individual provider Active NPI

Sydney Brotherton, SLP

  • Speech-Language Pathologist
  • Clive, IA
National Provider Identifier
1043074701
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
100787 Issued in IA
Practice address
1601 NW 114TH St Ste 347
Clive, IA 50325-7046
Phone
(515) 222-7350
Fax
(515) 222-7355
NPI assigned
Feb 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 100787 IA Primary

Addresses

Primary practice location

1601 NW 114TH St Ste 347
Clive, IA 50325-7046

Mailing address

PO Box 674721
Dallas, TX 75267-4721
Phone (515) 643-2519

Other practice location 1

1601 NW 114th St Ste 240
Clive, IA 50325-7036
Phone (515) 222-7728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409000606 IA Practitioner - Qualified Speech Language Pathologist 6901244037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinics IncGroup PAC ID 7911810882, 441 clinicians

Practice addresses (Care Compare)

1601 NW 114TH St
Suite 240 Mercyone Clive Physical Therapy C
Clive, IA 50325-7036
Phone (515) 222-7728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100787IAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinics Inc CurrentSince Mar 18, 2024 Accepting new patients
Mercy Clinics, Inc. CurrentSince Mar 18, 2024 Accepting new patients
Mercy Clinics, Inc. Current Accepting new patients

Locations

3310 SW 9th St
Des Moines, IA 50315
Phone (515) 244-5005

1601 NW 114th St
Des Moines, IA 50325
Phone (515) 222-7000

405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259

1601 NW 114th St
Ste 347
Des Moines, IA 50325
Phone (515) 222-7350

1601 NW 114th St
Ste 155
Des Moines, IA 50325
Phone (515) 222-7350

1601 NW 114th St
Ste 240
Des Moines, IA 50325
Phone (515) 222-7700

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1043074701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674721",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674721",
            "telephone_number": "515-643-2519",
            "fax_number": "515-222-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NW 114TH ST STE 347",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503257046",
            "telephone_number": "515-222-7350",
            "fax_number": "515-222-7355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 NW 114th St Ste 240",
            "address_purpose": "LOCATION",
            "city": "Clive",
            "state": "IA",
            "postal_code": "503257036",
            "country_code": "US",
            "telephone_number": "515-222-7728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROTHERTON",
        "first_name": "SYDNEY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "100787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.