Individual provider Active NPI

Julie Woodring Brazel, SCHOOL SLP

  • Speech-Language Pathologist
  • Spotsylvania, VA
National Provider Identifier
1811400591
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2203000307 Issued in VA
Practice address
7409 Brock Rd
Spotsylvania, VA 22553-2001
Phone
(540) 582-7020
Fax
(540) 582-8828
NPI assigned
Nov 16, 2017
Last updated
Nov 16, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2203000307 VA Primary

Addresses

Primary practice location

7409 Brock Rd
Spotsylvania, VA 22553-2001

Mailing address

10715 Lovett Dr
Fredericksburg, VA 22407-7720
Phone (540) 842-1251

Other identifiers 1

IdentifierTypeStateIssuer
2203000307OtherVADEPARTMENT OF HEALTH PROFESSIONS

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

LicenseStateTypeSpecialty
2203000307VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1811400591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10715 LOVETT DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224077720",
            "telephone_number": "540-842-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7409 BROCK RD",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225532001",
            "telephone_number": "540-582-7020",
            "fax_number": "540-582-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZEL",
        "first_name": "JULIE",
        "middle_name": "WOODRING",
        "name_prefix": "Mrs.",
        "credential": "SCHOOL SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2203000307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH PROFESSIONS",
            "identifier": "2203000307",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spotsylvania, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.