Maida Bermudez Bosch

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12472 Issued in NC

Practice address

4807 Red Brush Dr
MC Leansville, NC 27301-9314

Phone

(321) 432-8732

NPI assigned

Jun 5, 2021

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.

• Bosch Bilingual Speech Therapy, PLLC

  • Speech-Language Pathologist
  • MC Leansville, NC
  • NPI 1427620509
  NPD Authorized official

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

{
    "created_epoch": "1622851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622851200000",
    "number": "1447827845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 RED BRUSH DR",
            "city": "MC LEANSVILLE",
            "state": "NC",
            "postal_code": "273019314",
            "telephone_number": "321-432-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 RED BRUSH DR",
            "city": "MC LEANSVILLE",
            "state": "NC",
            "postal_code": "273019314",
            "telephone_number": "321-432-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMUDEZ BOSCH",
        "first_name": "MAIDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-05",
        "last_updated": "2021-06-05",
        "certification_date": "2021-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "12472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Franklin Chukwudi Achilike
• Nikki Adams
• Seanee Garris Alexander, LCSW
• Ashton Health and Rehabilitation, LLC
• B & B Transportation Services LLC.
• Amanda Marie Bishop, NP
• Kristine Boothe, RDN
• Bosch Bilingual Speech Therapy, PLLC
• Bri Transportation
• Leslie Malene Brown, LMFT

• Speech-Language Pathologist in MC Leansville, NC
• Providers in MC Leansville, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2021; 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.