Brooke Boyles, CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5176 Issued in AL

Practice address

6157 Airport Blvd Ste 205
Mobile, AL 36608-3147

Phone

(251) 287-0378

Fax

(251) 287-0466

NPI assigned

Jun 9, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bluebird Pediatric Therapy Services, Inc.

  • Rehabilitation Clinic/Center
  • Mobile, AL
  • NPI 1619255460
  NPD (past)

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1144959669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6157 AIRPORT BLVD STE 205",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083147",
            "telephone_number": "251-287-0378",
            "fax_number": "251-287-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6157 AIRPORT BLVD STE 205",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083147",
            "telephone_number": "251-287-0378",
            "fax_number": "251-287-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLES",
        "first_name": "BROOKE",
        "credential": "CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "5176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@bluebirdtherapy.com",
            "affiliation": "N",
            "endpointDescription": "hipaa compliant",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6157 Airport Blvd Ste 205",
            "city": "Mobile",
            "state": "AL",
            "country_code": "US",
            "postal_code": "366083147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julia Ann Boyd, CRNP
• Thomas Allen Boyd, MD
• John William Boyer, M.D.
• Ilene Boykin, NP
• Shunda Trimaine Boykin
• Mary Brabner
• India Samaria Bracey
• Fred Brackett, CRNA
• Jacqueline D. Brackett, CRNA
• Trudy J. Brackin, RN

• Speech-Language Pathologist in Mobile, AL
• Providers in Mobile, AL by specialty
• Speech-Language Pathologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.