Brandy Clydene Clegg

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

100290 Issued in TX

Practice address

525 Billie Ruth LN
Hurst, TX 76053-5406

Phone

(214) 870-3523

NPI assigned

Nov 11, 2021

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

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1720744915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 BILLIE RUTH LN",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760535406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 BILLIE RUTH LN",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760535406",
            "telephone_number": "214-870-3523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4020 Volk Ct",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "762448583",
            "country_code": "US",
            "telephone_number": "214-870-3523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEGG",
        "first_name": "BRANDY",
        "middle_name": "CLYDENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "100290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryson A Clark, D.C.
• Robert Clark, D.O.
• Sarah Elizabeth Clark, CPM, LM
• Isael Claudio, COTA
• Iliana Claveria, PTA
• Clinton Hyatt, DDS, PC (Hyatt Family Dental)
• Roshara Clough, COTA
• Jan D Cochrum, M.D.
• Kesli Coffelt, OTR
• Allison R Cohen, D.C., CCSP

• Speech-Language Pathologist in Hurst, TX
• Providers in Hurst, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.