Active NPI
Sydney Brotherton, SLP
- Speech-Language Pathologist
- Clive, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 100787
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 100787 | IA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinics Inc | Current | Accepting new patients | |
| Mercy Clinics, Inc. | Current | 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.
-
- Primary Care Clinic/Center
- Clive, IA
- NPI 1487670923
-
- Physical Therapist
- Clive, IA
- NPI 1710167192
-
- Obstetrics & Gynecology Physician
- Des Moines, IA
- NPI 1508741505
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.