Brent Duane Marquardt, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12032986 Issued in MI

Practice address

5976 W Montevista Dr
Fort Gratiot, MI 48059-2703

Phone

(810) 385-8310

Fax

(810) 385-8310

NPI assigned

May 19, 2007

Sex

Male

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

Enrolled in MI

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Live Big & Loud LLC

  • Rehabilitation Practitioner
  • Fort Gratiot, MI
  • NPI 1154292878
  Medicare reassignment NPD Authorized official
• Wellness Works, LLC

  • Professional Counselor
  • Fort Gratiot, MI
  • NPI 1861363889

  Speech-Language Pathologist

  NPD Authorized official

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

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518175884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5976 W MONTEVISTA DR",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480592703",
            "telephone_number": "810-385-8310",
            "fax_number": "810-385-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5976 W MONTEVISTA DR",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480592703",
            "telephone_number": "810-385-8310",
            "fax_number": "810-385-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUARDT",
        "first_name": "BRENT",
        "middle_name": "DUANE",
        "name_prefix": "Mr.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "12032986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Lyne
• Madison R Macrury
• Michelle Crystal Mann, MSN, FNP-BC
• Jennifer Joy Marlin, PA-C
• Kelsey Marmarou
• Megan Nicole Marr
• Jennifer Elizabeth Marshall
• Tiffany M Martinez
• Shelly Marzka
• Morgan Mattison

• Speech-Language Pathologist in Fort Gratiot, MI
• Providers in Fort Gratiot, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.