Brandon B Reed, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S3154 Issued in MS

Practice address

116 Parkview Dr
Natchez, MS 39120-9232

Phone

(601) 597-0394

NPI assigned

Oct 30, 2007

Sex

Female

Sole proprietor

No

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.

• Optimum Pediatric Therapy, LLC

  • Speech-Language Pathologist
  • Natchez, MS
  • NPI 1831453687
  NPD (past) Authorized official

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338768000000",
    "number": "1821277575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 PARKVIEW DR",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391209232",
            "telephone_number": "601-597-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 PARKVIEW DR",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391209232",
            "telephone_number": "601-597-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "BRANDON",
        "middle_name": "B",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2012-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S3154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MISSISSIPPI",
            "identifier": "000050976",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rankin Eye Professionals
• RCG Mississippi, Inc.
• Carolyn R Read, LCSW
• Reed Medical Clinic
• Alphonse Michael Reed, M.D.
• Rehab Management Resources LLC
• Brooke Rehms, M.S.
• Angela Reynolds
• Steve R Roberson, APRN
• Sharon Robillard, LPN

• Speech-Language Pathologist in Natchez, MS
• Providers in Natchez, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; 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.