Mitchell R Budde

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

096720 Issued in IA

Practice address

1575 W 53Rd St
Davenport, IA 52806-2448

Phone

(563) 386-9196

NPI assigned

May 1, 2020

Sex

Male

Sole proprietor

No

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.

• Central Therapy Services, LLC

  • Clinic/Center
  • De Witt, IA
  • NPI 1437767266
  NPD (past)

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1497376305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MAIN ST",
            "city": "DELMAR",
            "state": "IA",
            "postal_code": "520379701",
            "telephone_number": "563-349-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 W 53RD ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528062448",
            "telephone_number": "563-386-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDDE",
        "first_name": "MITCHELL",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-01",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "096720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryant Chiropractic PLLC
• Beth Bryant, PT
• Paula Jean Bryant, ARNP
• Taylor Bryant, B.S., D.C.
• Meghan E Buchanan, DPT
• Elizabeth Budelier
• Franlynn Bugg, PH.D.
• Kristi A Bullock, PA
• Scott Bullock
• Christy Lee Bulman, D.D.S.

• Speech-Language Pathologist in Davenport, IA
• Providers in Davenport, IA by specialty
• Speech-Language Pathologist in Iowa

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