Individual provider Active NPI

Jayme B Brumfiel

  • Speech-Language Pathologist
  • Summerville, SC
National Provider Identifier
1336288562
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4142 Issued in SC
Practice address
102 Valentin Dr
Summerville, SC 29483-8439
Phone
(843) 737-1584
Fax
(843) 821-9040
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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 4142 SC Primary

Addresses

Primary practice location

102 Valentin Dr
Summerville, SC 29483-8439

Mailing address

102 Valentin Dr
Summerville, SC 29483-8439
Phone (843) 737-1584

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4142SCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1336288562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 VALENTIN DR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294838439",
            "telephone_number": "843-737-1584",
            "fax_number": "843-821-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 VALENTIN DR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294838439",
            "telephone_number": "843-737-1584",
            "fax_number": "843-821-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMFIEL",
        "first_name": "JAYME",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.