Douglas Alan Brandow, M.S./CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3745 Issued in KY

Practice address

515 Greene Dr
Greenville, KY 42345-1409

Phone

(270) 338-0507

NPI assigned

Jun 11, 2010

Last updated

Jun 11, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1649590720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 N 4TH ST",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490911168",
            "telephone_number": "269-659-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 GREENE DR",
            "city": "GREENVILLE",
            "state": "KY",
            "postal_code": "423451409",
            "telephone_number": "270-338-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDOW",
        "first_name": "DOUGLAS",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "M.S./CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-11",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "3745",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22003105A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Michelle Beegle
• Callie Magdeline Bell, APRN
• Cheryl Berry, R.PH.
• Chris Duane Bingham, PTA
• Zane Boyd, LPCC
• Roxann Breidenbach, COTA
• Amy R Brewer
• Alex Wade Brown, PHARMD, RPH
• David Brown, LCSW
• Martha Macy Brown, DMD

• Speech-Language Pathologist in Greenville, KY
• Providers in Greenville, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.