Active NPI
Bryce Gohn
- Speech-Language Pathologist
- El Mirage, AZ
National Provider Identifier
1356720148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLPA9307
- Practice address
- 12746 W Soledad St
El Mirage, AZ 85335-8230 - Phone
- (623) 262-0501
- NPI assigned
- May 26, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLPA9307 | AZ | Primary |
Addresses
Primary practice location
12746 W Soledad St
El Mirage, AZ 85335-8230
Mailing address
12746 W Soledad St
El Mirage, AZ 85335-8230
Phone (623) 262-0501
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
| License | State | Type | Specialty |
|---|---|---|---|
| SLPA9307 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432598400000",
"number": "1356720148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12746 W SOLEDAD ST",
"city": "EL MIRAGE",
"state": "AZ",
"postal_code": "853358230",
"telephone_number": "623-262-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12746 W SOLEDAD ST",
"city": "EL MIRAGE",
"state": "AZ",
"postal_code": "853358230",
"telephone_number": "623-262-0501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOHN",
"first_name": "BRYCE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-26",
"last_updated": "2015-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLPA9307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Mirage, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.