Martha Bates Brewer, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5260 Issued in AL

Practice address

492 Ridgewood Dr
Daphne, AL 36526-8030

Phone

(828) 279-6949

NPI assigned

Jun 14, 2011

Last updated

Nov 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Martha Diane Bates Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1467747758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 RIDGEWOOD DR",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365268030",
            "telephone_number": "828-279-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 RIDGEWOOD DR",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365268030",
            "telephone_number": "828-279-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "MARTHA",
        "middle_name": "BATES",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S4265",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "5260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05850766",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "BATES",
            "middle_name": "DIANE",
            "prefix": "MS.",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Megan G Bradley, CRNP
• Molly-Catherine Brantley, PT, DPT
• Randell I Braun, D.P.M.
• Bray Counseling Services LLC
• Cheryl Bray Bray, LPC
• John Joseph Broderick-Cantwell, M.D.
• Camille Brown, MS, ALC
• James Walker Brown, RPH
• Meagan Canterbury Brown, CRNP
• Noreen Donley Brown

• Speech-Language Pathologist in Daphne, AL
• Providers in Daphne, AL by specialty
• Speech-Language Pathologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.