Broadfield Speech & Swallowing Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

BROADFIELD SPEECH & SWALLOWING THERAPY LLC

Doing business as

Bonnie Broadfield White

Practice address

2422 Pocoson Wood CT
Charlottesville, VA 22911-8313

Phone

(540) 216-0078

NPI assigned

Jun 11, 2019

Last updated

Aug 21, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bonnie Broadfield White, CCC-SLP

Title

Owner

Phone

(540) 216-0078

Specialties & licenses 1

Addresses

Other names 1

• Bonnie Broadfield White Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1811556061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2422 POCOSON WOOD CT",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118313",
            "telephone_number": "540-216-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 POCOSON WOOD CT",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118313",
            "telephone_number": "540-216-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADFIELD SPEECH & SWALLOWING THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "BROADFIELD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-216-0078",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bonniebwhite.wixsite.com/broadfield",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "comments",
            "address_1": "2422 Pocoson Wood Ct",
            "city": "Charlottesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229118313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bonnie Broadfield White",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bonnie Broadfield White",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Britt
• Jacob Britton
• Matthew Britton, MD
• Jared Todd Brizendine, PA
• Heather Lorin Broach, PT, DPT
• Dallin Stanford Broberg, MD
• Amanda Brochu
• Harrison Brock, MD
• Stephen F. Brockmeier, M.D.
• Bonny Gale Bronson, PHD

• Speech-Language Pathologist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.