Brigid C Shamburg, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

15856 Issued in CA

Practice address

7907 Ostrow St
San Diego, CA 92111-3635

Phone

(858) 565-6910

NPI assigned

Nov 27, 2007

Sex

Female

Sole proprietor

Yes

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 Arts

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.

• One of a Kind Childrens Therapy

  • Hearing and Speech Clinic/Center
  • Encinitas, CA
  • NPI 1982353553
  NPD Authorized official

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1205018751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 ELM ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921021413",
            "telephone_number": "901-340-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7907 OSTROW ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113635",
            "telephone_number": "858-565-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMBURG",
        "first_name": "BRIGID",
        "middle_name": "C",
        "name_prefix": "Miss",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-27",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "15856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Crossley Shallow, DC
• Samuel Shalov, MD
• Nikolai Shalygin, M.D.
• Azam Shamani, MD
• Krista Shambaugh, PMHNP
• Roda Pacheco Shamel, NP
• Kristina Shamilova, LMT
• Marianne Rosella Shamlou, MA, CCC, SLP
• Natasha Shamloufard, DPT
• Pouneh Shamloufard

• Speech-Language Pathologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.