James Kenneth Brunsmann, M.S, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12842 Issued in OR

Practice address

3869 SW Hall Blvd
Beaverton, OR 97005-2049

Phone

(503) 946-5375

Fax

(503) 626-0663

NPI assigned

Feb 4, 2014

Sex

Male

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

Credentials

Master of Science

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 and National Provider Directory roles.

• Speech & Play, LLC

  • Speech-Language Pathologist
  • Beaverton, OR
  • NPI 1124421045
  NPD

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1154745628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3869 SW HALL BLVD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052049",
            "telephone_number": "503-946-5375",
            "fax_number": "503-626-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3869 SW HALL BLVD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052049",
            "telephone_number": "503-946-5375",
            "fax_number": "503-626-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNSMANN",
        "first_name": "JAMES",
        "middle_name": "KENNETH",
        "credential": "M.S, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-04",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "12842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Starlee Brown
• Kiara Browning
• David K. Brumwell, MD
• Amy R Bruner, M.D.
• Mason Paul Brunette, ATC
• Linda Louise Bryant, WHCNP
• Alexandra Stuart Bryce
• David Matthew Buchan, DPT
• Donald Buck
• Madeline Buck, OTD, OTR/L

• Speech-Language Pathologist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.