River Louise Brundage, M.S.ED.,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

009955 Issued in NY

Practice address

9 Maple St
Bath, NY 14810-1235

Phone

(607) 622-6092

NPI assigned

Oct 30, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ellen Louise Townsend Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1760635007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MAPLE ST",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148101235",
            "telephone_number": "607-622-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MAPLE ST",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148101235",
            "telephone_number": "607-622-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNDAGE",
        "first_name": "RIVER",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "M.S.ED.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-30",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "009955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "TOWNSEND",
            "middle_name": "LOUISE",
            "credential": "M.S.ED.,CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Courtney Briganti
• Gerri Ellen Brink
• John Wesley Brown III, C.T.R.S.
• Muriel S Brown, GNP-BC
• Trisha Brown, N.P.
• Robert Donald Buckley Jr.
• Sharyl Buckpitt
• Janna Beth Buckwalter, MSED
• Buffalo Vamc
• Buffalo Vamc

• Speech-Language Pathologist in Bath, NY
• Providers in Bath, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.