Mary Bruner, CFY-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

COND.2016060 Issued in OH

Practice address

625 S Yearling Rd
Whitehall, OH 43213-2861

Phone

(937) 474-6733

NPI assigned

Aug 17, 2015

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

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.

• Whitehall City Schools

  • Local Education Agency (LEA)
  • Whitehall, OH
  • NPI 1750779880
  NPD (past)

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1851767693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 N STAR RD",
            "address_2": "A6",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432121565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S YEARLING RD",
            "city": "WHITEHALL",
            "state": "OH",
            "postal_code": "432132861",
            "telephone_number": "937-474-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNER",
        "first_name": "MARY",
        "credential": "CFY-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND.2016060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael R Brown
• Moniqua Brown, LSW
• Tanisha Brown
• Walter Brown
• Michelle Lynn Brumfield, RN, BSN
• Alison Katherine Brunney, LSW
• Fatuma Osman Bulle
• Catherine Lee Burgess
• Jeffrey Burkheart
• Michele Maria Burns, QMHS

• Speech-Language Pathologist in Whitehall, OH
• Providers in Whitehall, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.