Individual provider Active NPI

Brooke McBride

  • Speech-Language Pathologist
  • Boise, ID
National Provider Identifier
1730694738
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
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, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20191205000591 ID Practitioner - Qualified Speech Language Pathologist 1355774340 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Star Speech and Occupational Therapy LLC Speech-Language Pathologist CurrentSince Sep 17, 2022 Accepting new patients
Idaho Voice and Swallow Center LLC Speech-Language Pathologist CurrentSince Mar 10, 2025 Accepting new patients
Chatterton Speech Therapy, LLC Speech-Language Pathologist CurrentSince Feb 1, 2019 Accepting new patients
Sparrow Speech Studio, LLC Speech-Language Pathologist PastSince Jul 21, 2024 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.

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.

Verify at the official NPI Registry.