Organization Active NPI

Brave Speech and Language PLLC

  • Speech-Language Pathologist
  • Great Falls, MT
National Provider Identifier
1043083645
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BRAVE SPEECH AND LANGUAGE PLLC
Practice address
52 32ND Ave NE
Great Falls, MT 59404-4241
Phone
(406) 231-4364
NPI assigned
Nov 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
April Heather Renfro, M.A. CCC-SLPNPI 1265643399
Title
Authorized Official
Phone
(406) 231-4364

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

52 32ND Ave NE
Great Falls, MT 59404-4241

Mailing address

52 32ND Ave NE
Great Falls, MT 59404-4241
Phone (406) 231-4364

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250205000792 MT Part B Supplier - Clinic/Group Practice 9436689569 Receives reassigned benefits from 1 practitioner
Practice locations: Great Falls, MT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1043083645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 32ND AVE NE",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594044241",
            "telephone_number": "406-231-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 32ND AVE NE",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594044241",
            "telephone_number": "406-231-4364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVE SPEECH AND LANGUAGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "RENFRO",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "HEATHER",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "406-231-4364",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.