Active NPI
Brooke McBride
- Speech-Language Pathologist
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 6855 W Fairview Ave Ste 120
Boise, ID 83704-8046 - Phone
- (208) 323-8888
- NPI assigned
- Dec 12, 2017
- Last updated
- Dec 12, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
6855 W Fairview Ave Ste 120
Boise, ID 83704-8046
Mailing address
382 Stierman Way
Eagle, ID 83616-5166
Phone (208) 870-7999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star Speech and Occupational Therapy LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Idaho Voice and Swallow Center LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Chatterton Speech Therapy, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Sparrow Speech Studio, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Locations
13075 W Persimmon Ln
#120
Boise, ID 83713
Phone (208) 793-7006
8601 W Emerald St
Ste 150
Boise, ID 83704
Phone (208) 321-0634
875 S Vanguard Way
Ste 200
Meridian, ID 83642
Phone (208) 298-9949
12222 W Bridger Bay Dr
Star, ID 83669
Phone (208) 391-2773
Organizations & group practices 4
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.
-
dba Center for Orofacial Myology
- Speech-Language Pathologist
- Boise, ID
- NPI 1932501558
-
- Speech-Language Pathologist
- Meridian, ID
- NPI 1720845316
-
- Speech-Language Pathologist
- Star, ID
- NPI 1669917571
-
- Speech-Language Pathologist
- Meridian, ID
- NPI 1679311898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513036800000",
"number": "1730694738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "382 STIERMAN WAY",
"city": "EAGLE",
"state": "ID",
"postal_code": "836165166",
"telephone_number": "208-870-7999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6855 W FAIRVIEW AVE STE 120",
"city": "BOISE",
"state": "ID",
"postal_code": "837048046",
"telephone_number": "208-323-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBRIDE",
"first_name": "BROOKE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-12",
"last_updated": "2017-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.