Brian Christopher Carroll, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6699 Issued in NC

Practice address

2731 Sunberry LN NW
Concord, NC 28027-6555

Phone

(704) 918-8302

Fax

(704) 782-2918

NPI assigned

Jan 6, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Happy Feet Therapy Services, PLLC

  • Speech-Language Pathologist
  • Concord, NC
  • NPI 1225322472
  NPD (past) Authorized official

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1790089613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2731 SUNBERRY LN NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280276555",
            "telephone_number": "704-918-8302",
            "fax_number": "704-782-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 SUNBERRY LN NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280276555",
            "telephone_number": "704-918-8302",
            "fax_number": "704-782-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "BRIAN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "6699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolinas Sleep Specialists, PA
• Kayla Carrigan
• Terry Carriker, R.N.C.
• Diana Carrillo
• Katherine Marie Carris, MSW, LCSW-A
• Jocelyn Carroll
• Virginia Lee Carroll, M.S. OTR/L
• Jaclyn Paige Carson, PHARMD
• Denette Carte, MS, LAT, ATC
• Carter Freight Line LLC

• Speech-Language Pathologist in Concord, NC
• Providers in Concord, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.