Active NPI
Emily Bray Brahim
- Speech-Language Pathologist
- Fort Myers, FL
National Provider Identifier
1801202544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ6699
- Practice address
- 6360 Techster Blvd
Suite 2
Fort Myers, FL 33966-4805 - Phone
- (239) 482-3154
- Fax
- (239) 482-3254
- NPI assigned
- Jul 2, 2014
- Last updated
- Nov 22, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ6699 | FL | Primary |
Addresses
Primary practice location
6360 Techster Blvd
Suite 2
Fort Myers, FL 33966-4805
Mailing address
6360 Techster Blvd
Suite 2
Fort Myers, FL 33966-4805
Phone (239) 482-3154
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SZ6699 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416614400000",
"number": "1801202544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6360 TECHSTER BLVD",
"address_2": "SUITE 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339664805",
"telephone_number": "239-482-3154",
"fax_number": "239-482-3254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6360 TECHSTER BLVD",
"address_2": "SUITE 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339664805",
"telephone_number": "239-482-3154",
"fax_number": "239-482-3254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAHIM",
"first_name": "EMILY",
"middle_name": "BRAY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-02",
"last_updated": "2014-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ6699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.