Brianna Buckle

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2024022551 Issued in MO

Practice address

122 Oaklawn Dr
Glen Carbon, IL 62034-4046

Phone

(618) 570-6650

NPI assigned

Jul 1, 2024

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

State licenses

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.

• Reaching Milestones Therapies, LLC

  • Speech-Language Pathologist
  • Glen Carbon, IL
  • NPI 1871451955
  NPD (past)

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1316783228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 WOODCREST MANOR CT APT A",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630218453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 OAKLAWN DR",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620344046",
            "telephone_number": "618-570-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLE",
        "first_name": "BRIANNA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2024022551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Marie Bruch
• Brueggeman Chiropractic Center, LLC
• Emily Ann Brueggeman, DC
• Melissa S Bruhn
• Keith Andrew Bryant, D.M.D.
• Rachel Ann Bull, MS, CCC-SLP
• Ashley Burgess, PT, DPT
• Jason Burk, PHARMD
• Jonathan Thomas Burroughs
• Jenna Claire Callantine

• Speech-Language Pathologist in Glen Carbon, IL
• Providers in Glen Carbon, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.