Robert Henry Brown Jr., M.A.,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

007861-1 Issued in NY

Practice address

4576 Berry Rd
Fredonia, NY 14063-1547

Phone

(716) 672-8135

NPI assigned

Aug 17, 2010

Last updated

Aug 17, 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1689989402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4576 BERRY RD",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631547",
            "telephone_number": "716-672-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4576 BERRY RD",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631547",
            "telephone_number": "716-672-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ROBERT",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.A.,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-17",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "007861-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Matthew Bogosian, OD
• Patricia Ann Boris, NP
• Jerome W Bradigan, COTA/L
• Susan Breznak-Honeychurch, PT
• Ashlin Grace Brown
• Dawn Marie Buczkowski, PA-C
• Thy A Bui, D.M.D.
• Dianne Kathleen Buyer, M.S.
• Zandra Campese
• Jose L Caraballo

• Speech-Language Pathologist in Fredonia, NY
• Providers in Fredonia, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.