Active NPI
Bradford Lund Swartz, PHD, CCC-SLP
- Speech-Language Pathologist
- Mt Pleasant, MI
National Provider Identifier
1164512109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- ASHA 00407957
- Practice address
- 1101 Health Professions Building
Mt Pleasant, MI 48859-0001 - Phone
- (989) 774-7291
- Fax
- (989) 774-1891
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- No
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 | ASHA 00407957 | MI | Primary |
Addresses
Primary practice location
1101 Health Professions Building
Mt Pleasant, MI 48859-0001
Mailing address
1101 Health Professions Building
Mt Pleasant, MI 48859-0001
Phone (989) 774-7291
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00407957 | Other | MI | ASHA NUMBER |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASHA 00407957 | MI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1164512109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 HEALTH PROFESSIONS BUILDING",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488590001",
"telephone_number": "989-774-7291",
"fax_number": "989-774-1891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 HEALTH PROFESSIONS BUILDING",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488590001",
"telephone_number": "989-774-7291",
"fax_number": "989-774-1891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWARTZ",
"first_name": "BRADFORD",
"middle_name": "LUND",
"credential": "PHD, CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "ASHA 00407957",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA NUMBER",
"identifier": "00407957",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mt Pleasant, MI
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.