Debra Lea Bulicek Bracy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146013640 Issued in IL

Practice address

310 S Main St Ste D
Lombard, IL 60148-2692

Phone

(630) 652-0200

NPI assigned

Aug 15, 2018

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center for Speech and Language Disorders

  • Speech-Language Pathologist
  • Elmhurst, IL
  • NPI 1477602548
  NPD (past)
• Midwest Speech Therapy, PC

  • Speech-Language Pathologist
  • Bloomingdale, IL
  • NPI 1154780740
  NPD (past)

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1770063265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S MAIN ST STE D",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482692",
            "telephone_number": "630-652-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S MAIN ST STE D",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482692",
            "telephone_number": "630-652-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULICEK BRACY",
        "first_name": "DEBRA",
        "middle_name": "LEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146013640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS",
            "identifier": "146013640",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Buckelew, MA, MS, LPC
• Lauren Buckley, MA, LPC
• Brittany Budde
• Sarah Budisch
• Mary Rose Iovinelli Buescher, R.D.
• Keelin Burchfield
• William P. Burke, O.D.
• Shelley Burns, LCSW
• Teary Burns
• Erin Byrne

• All providers in Lombard, IL
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.