Active NPI
Rebecca Leeanne Brammer, M.A., CCC-SLP
- Speech-Language Pathologist
- Bridgeport, WV
National Provider Identifier
1043310758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-0909
- Practice address
- 12 Coolview LN
Bridgeport, WV 26330-1009 - Phone
- (304) 669-0201
- NPI assigned
- Sep 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | SLP-0909 | WV | Primary |
Addresses
Primary practice location
12 Coolview LN
Bridgeport, WV 26330-1009
Mailing address
12 Coolview LN
Bridgeport, WV 26330-1009
Phone (304) 669-0201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810005152 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-0909 | WV | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1043310758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 COOLVIEW LN",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263301009",
"telephone_number": "304-669-0201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 COOLVIEW LN",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263301009",
"telephone_number": "304-669-0201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAMMER",
"first_name": "REBECCA",
"middle_name": "LEEANNE",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WV",
"license": "SLP-0909",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810005152",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.