Bradley Dean Jeffery, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

19872 Issued in TX

Practice address

2535 Lone Star Dr
Dallas, TX 75212-6313

Phone

(214) 467-9787

NPI assigned

Jun 14, 2007

Sex

Male

Sole proprietor

No

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 Science

State licenses

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558565234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MEADOW LN",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762077414",
            "telephone_number": "940-323-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 LONE STAR DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752126313",
            "telephone_number": "214-467-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERY",
        "first_name": "BRADLEY",
        "middle_name": "DEAN",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "19872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Porchia Jefferson
• Shandelle Jefferson, LPC
• Susanne Jefferson, RNFA
• Jeffery Fritz MD PA
• Jeffery Keith Krueger M D P a
• Hailey Jeffery, RN
• Jeffrey a Fearon MD P a
• Jeffrey a Stone DO PA
• Jeffrey a. Henry Estate
• Jeffrey D Hopkins DDS MD PA

• Speech-Language Pathologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Speech-Language Pathologist in Texas

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.