Individual provider Active NPI

Brian Wayne Joyce, CCC-SLP

  • Speech-Language Pathologist
  • Rochester, MN
National Provider Identifier
1740826353
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4974-154 Issued in WI
Practice address
24 8TH St NW
Rochester, MN 55901-6817
Phone
(507) 289-4031
NPI assigned
Nov 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 113387 TX
Speech-Language Pathologist 235Z00000X 4974-154 WI Primary

Addresses

Primary practice location

24 8TH St NW
Rochester, MN 55901-6817

Mailing address

24 8TH St NW
Rochester, MN 55901-6817

Other practice location 1

1505 Orrin Rd
Prescott, WI 54021-1074
Phone (715) 262-5661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4974-154WIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1740826353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 8TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559016817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 8TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559016817",
            "telephone_number": "507-289-4031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 Orrin Rd",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "WI",
            "postal_code": "540211074",
            "country_code": "US",
            "telephone_number": "715-262-5661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOYCE",
        "first_name": "BRIAN",
        "middle_name": "WAYNE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "113387",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "4974-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.