Bernard Faustos Labrador Badillo, M.A

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP.0005122 Issued in CO

Practice address

612 Jemison GRV Apt 308
Colorado Springs, CO 80915-3684

Phone

(719) 639-0270

NPI assigned

Nov 29, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Bernie Badillo Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1285344309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 JEMISON GRV APT 308",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809153684",
            "telephone_number": "719-639-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 JEMISON GRV APT 308",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809153684",
            "telephone_number": "719-639-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADILLO",
        "first_name": "BERNARD FAUSTOS",
        "middle_name": "LABRADOR",
        "credential": "M.A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-29",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0005122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERNIE",
            "last_name": "BADILLO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Backroads Chiropractic PC
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• Hannah Badeau, NLC
• Cheryl Bader, D.PH.
• Christelle Badillo
• Ahmad Badr, M.D.
• Wofa Badu Acheampong
• Molly Baechler
• Daniel W Baer, D.O.

• Speech-Language Pathologist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.