Bronte Benson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.014214 Issued in IL

Practice address

4701 N Oak St
Crystal Lake, IL 60012-3309

Phone

(815) 788-1020

NPI assigned

Jun 1, 2018

Last updated

Jun 1, 2018By the provider in NPPES

Sex

Female

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

State licenses

Practice roles

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.

• Midwest Center for Childrens Development NFP

  • Pediatric Occupational Therapist
  • Crystal Lake, IL
  • NPI 1538281340

  Speech-Language Pathologist

  NPD (past)
• TLC Centers for Therapy

  dba Dream Riders

  • Physical Therapist
  • Crystal Lake, IL
  • NPI 1780336123

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1659863009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 N OAK ST",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600123309",
            "telephone_number": "815-788-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 N OAK ST",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600123309",
            "telephone_number": "815-788-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "BRONTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.014214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Belman
• Tucker D Benjamin, MS, PA-C
• Bennett & Bennett
• Durie T Bennett, MA LCPC
• Torrie Benson-Pryor
• Kimberley A Bentele, APRN, CNP
• Christy A Benton, A.P.N.
• Charmagne Joy Benz, FNP
• Ashley Beres
• Julia Berg

• Speech-Language Pathologist in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; 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.