Active NPI
Delanea Lynn Bronson, M.S. CCC-SLP
- Speech-Language Pathologist
- Beaumont, TX
National Provider Identifier
1497991699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 104713
- Practice address
- 11680 Ridgecrest Dr
Beaumont, TX 77705-9614 - Phone
- (409) 828-1906
- NPI assigned
- Dec 18, 2008
- 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 | 104713 | TX | Primary |
Addresses
Primary practice location
11680 Ridgecrest Dr
Beaumont, TX 77705-9614
Mailing address
11680 Ridgecrest Dr
Beaumont, TX 77705-9614
Phone (409) 828-1906
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104713 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334707200000",
"number": "1497991699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11680 RIDGECREST DR",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777059614",
"telephone_number": "409-828-1906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11680 RIDGECREST DR",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777059614",
"telephone_number": "409-828-1906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRONSON",
"first_name": "DELANEA",
"middle_name": "LYNN",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-18",
"last_updated": "2012-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "104713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
- Nancy Kaa Bristol, PAC MHE BS
- Meagan Brittain, MS, CCC-SLP
- Brian Mark Broaddus, M.D.
- Jenny Lee Broaddus, LPC-S
- Yolanda Denise Broadnax, CRNP
- Kendall Rene Brookins, ATC, LAT
- Kelli Brooke Brooks, MSN, NNP-BC
- Brookshire Brothers Inc (Brookshire Brothers Pharmacy)
- Joseph Brottem, Crna
- Broussard Eye Associates, LLLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.