Brenna Pham LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

BRENNA PHAM LLC

Practice address

4250 Browndale Ave
Saint Louis Park, MN 55416-3220

Phone

(612) 965-5732

NPI assigned

Oct 23, 2019

Organization subpart

No

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

Authorized official

Name

Brenna Pham, MA, CCC-SLPNPI 1306199666

Title

Speech-Language Pathologist

Phone

(612) 965-5732

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brenna Nicole Pham, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Grand Junction, CO
  • NPI 1306199666
  NPD (past) Authorized official

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572998400000",
    "number": "1710520598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 BROWNDALE AVE",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554163220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 BROWNDALE AVE",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554163220",
            "telephone_number": "612-965-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENNA PHAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-11-06",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "BRENNA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "612-965-5732",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Brausey, PHARMD
• Melanie Ann Brave, M.S., CCC-SLP
• Rachel Breiholz
• Margaret Susan Eide Bremer, MA, LPCC
• Bremo Ride Care
• Connie Marie Brennan, APRN, AGNP-BC, PHN
• James Joseph Brenny, PT
• Teri Bretz, DMD
• Jonah R Breuer, DPT
• Sarah Breuer, DC

• Speech-Language Pathologist in Saint Louis Park, MN
• Providers in Saint Louis Park, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.