Barbara Amy Brudnicki, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL015030 Issued in PA

Practice address

600 W Cheltenham Ave
Philadelphia, PA 19126-3045

Phone

(215) 927-7300

NPI assigned

Jul 24, 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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1627084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627171200000",
    "number": "1508439738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6334 HEGERMAN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191353302",
            "telephone_number": "215-876-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W CHELTENHAM AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191263045",
            "telephone_number": "215-927-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUDNICKI",
        "first_name": "BARBARA",
        "middle_name": "AMY",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-24",
        "last_updated": "2021-07-25",
        "certification_date": "2021-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL015030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren A Brucia, M.D.
• Alexander J Brucker, MD
• Katharine Brucker
• Benjamin Bruckman, LMT
• Janice Bruckner, PHD, PT
• Alyssa Kathleen Bruehlman, M.D.
• Caroline Clark Brugger, CRNP
• Elaine Elizabeth Bruhn, DDS
• Benjamin Berendinus Bruins, MD
• Joanne Brumbaugh-Archer, MD

• Speech-Language Pathologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.