Organization Active NPI

Julie M Bonomo

  • Speech-Language Pathologist
  • Galveston, TX
National Provider Identifier
1669981262
Registry record updated Sep 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
JULIE M BONOMO
Practice address
928 Broadway St
Galveston, TX 77550-6228
Phone
(409) 242-6500
Fax
(409) 497-4389
NPI assigned
Sep 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2017

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

Authorized official

Name
Angie Sams, MHA
Title
Operations Manager
Phone
(409) 242-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

928 Broadway St
Galveston, TX 77550-6228

Mailing address

PO Box 57
Galveston, TX 77553-0057
Phone (409) 242-6500

Other names 1

  • Gulf Coast Speech Pathology Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506384000000",
    "number": "1669981262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775530057",
            "telephone_number": "409-242-6500",
            "fax_number": "409-497-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 BROADWAY ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775506228",
            "telephone_number": "409-242-6500",
            "fax_number": "409-497-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE M BONOMO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-26",
        "last_updated": "2017-09-26",
        "status": "A",
        "authorized_official_last_name": "SAMS",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "409-242-6500",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Speech Pathology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galveston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2017; 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.