Individual provider Active NPI

Bryn A Brown, M.A., CCC-SLP,COM

  • Speech-Language Pathologist
  • Huntington, WV
National Provider Identifier
1538205273
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-0809 Issued in WV
Practice address
1 John Marshall Dr
Huntington, WV 25755-5885
Phone
(304) 696-3641
NPI assigned
Jan 29, 2007
Last updated
Jan 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP-0809 WV Primary
Speech-Language Pathologist 235Z00000X SLP-0803 WV

Addresses

Primary practice location

1 John Marshall Dr
Huntington, WV 25755-5885

Mailing address

1 John Marshall Dr
Huntington, WV 25755-0003
Phone (304) 696-3641

Other practice location 1

336 Sycamore Rd
Hurricane, WV 25526-5885
Phone (304) 541-7704

Other identifiers 1

IdentifierTypeStateIssuer
7401171000MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bryn.brown@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190930000746 WV Practitioner - Qualified Speech Language Pathologist 5092045344 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SLP-0803WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall University Speech-Language Pathologist CurrentSince Jul 1, 2023 Accepting new patients

Locations

1 John Marshall Dr
Huntington, WV 25755
Phone (304) 696-3641

1 John Marshall Dr
#143
Huntington, WV 25755
Phone (304) 696-3641

Interoperability endpoints

  • Direct secure messaging: bryn.brown@marshall.cernerdirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1538205273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JOHN MARSHALL DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257550003",
            "telephone_number": "304-696-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JOHN MARSHALL DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257555885",
            "telephone_number": "304-696-3641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "336 Sycamore Rd",
            "address_purpose": "LOCATION",
            "city": "Hurricane",
            "state": "WV",
            "postal_code": "255265885",
            "country_code": "US",
            "telephone_number": "304-541-7704",
            "fax_number": "304-760-4030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BRYN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP,COM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP-0809",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP-0803",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7401171000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bryn.brown@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1 John Marshall Dr",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257555885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.