Individual provider Active NPI

Nicole Klaubert Bryant, SLP

  • Speech-Language Pathologist
  • Birmingham, AL
National Provider Identifier
1235971052
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5181 Issued in AL
Practice address
3105 Independence Dr Ste 105
Birmingham, AL 35209-4111
Phone
(205) 830-2210
Fax
(205) 803-2214
NPI assigned
Jun 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5181 AL Primary

Addresses

Primary practice location

3105 Independence Dr Ste 105
Birmingham, AL 35209-4111

Mailing address

3105 Independence Dr Ste 105
Birmingham, AL 35209-4111
Phone (205) 830-2210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240618002517 AL Practitioner - Qualified Speech Language Pathologist 5991248940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Neurology AssociatesGroup PAC ID 9739088626, 14 clinicians

Practice addresses (Care Compare)

3105 Independence Dr
Suite 105
Birmingham, AL 35209-4111
Phone 20580322103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Neurology Associates CurrentSince Apr 13, 2024 Accepting new patients

Locations

3105 Independence Dr
#105
Birmingham, AL 35209
Phone (205) 803-2210

2700 Rogers Dr
Ste 201
Birmingham, AL 35209
Phone (205) 414-6097

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1235971052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 INDEPENDENCE DR STE 105",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094111",
            "telephone_number": "205-830-2210",
            "fax_number": "205-803-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 INDEPENDENCE DR STE 105",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094111",
            "telephone_number": "205-830-2210",
            "fax_number": "205-803-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "NICOLE",
        "middle_name": "KLAUBERT",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "5181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.