Brenda Gillar, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

111703 Issued in TX

Practice address

1809 W Loop 281
Ste100 Pmb153
Longview, TX 75604-2571

Phone

(972) 935-4752

NPI assigned

Oct 2, 2015

Last updated

Oct 2, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Beyond Speech Therapy PLLC

  • Speech-Language Pathologist
  • Longview, TX
  • NPI 1659745446
  NPD Authorized official
• Feasible Solutions, LLC

  • Speech-Language Pathologist
  • Longview, TX
  • NPI 1902275266
  NPD (past) Authorized official

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443744000000",
    "number": "1063882033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 W LOOP 281",
            "address_2": "STE100 PMB153",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042571",
            "telephone_number": "972-935-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 W LOOP 281",
            "address_2": "STE100 PMB153",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042571",
            "telephone_number": "972-935-4752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLAR",
        "first_name": "BRENDA",
        "credential": "CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "111703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Jo Gibson, RN
• Corey L. Gibson, M.A.
• Drew David Gibson, M.D.
• Larry Jack Gilbert, LPC, LMFT, LSSP
• Hayley Gill, RN
• Charlsie Ferguson Gillcoat, ACNP-BC
• Cheryl Diane Gilliam, R.PH.
• Jaclyn P Gilliam, CNM
• Kelly Sue Gilmer, LPC
• Romesha M Gines, LVN

• Speech-Language Pathologist in Longview, TX
• Providers in Longview, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.