Individual provider Active NPI

Anna Marie Bruzdzinski, M.S., CF-SLP

  • Speech-Language Pathologist
  • Myrtle Beach, SC
National Provider Identifier
1497585467
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8877 Issued in SC
Practice address
8703 Highway 17 Byp S Ste I
Myrtle Beach, SC 29575-7701
Phone
(843) 457-1053
NPI assigned
Aug 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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 8877 SC Primary

Addresses

Primary practice location

8703 Highway 17 Byp S Ste I
Myrtle Beach, SC 29575-7701

Mailing address

8703 Highway 17 Byp S Ste I
Myrtle Beach, SC 29575-7701
Phone (843) 457-1053

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8877SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Young Talkers, LLC Speech-Language Pathologist CurrentSince Aug 11, 2024 Accepting new patients
Young Talkers, LLC Speech-Language Pathologist PastSince Aug 11, 2024 Accepting new patients

Locations

8703 Highway 17 Byp S
Ste I
Myrtle Beach, SC 29575
Phone (843) 457-1053

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1497585467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8703 HIGHWAY 17 BYP S STE I",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295757701",
            "telephone_number": "843-457-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8703 HIGHWAY 17 BYP S STE I",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295757701",
            "telephone_number": "843-457-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUZDZINSKI",
        "first_name": "ANNA",
        "middle_name": "MARIE",
        "credential": "M.S., CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "8877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.