Individual provider Active NPI

Bradley D Rice Jr., M.S. CCC-SLP

  • Speech-Language Pathologist
  • Peoria, AZ
National Provider Identifier
1861751653
Registry record updated Mar 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP7758 Issued in AZ
Practice address
22881 N 103Rd LN
Peoria, AZ 85383-2757
Phone
(847) 890-5703
Fax
(833) 815-2428
NPI assigned
May 14, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SLP7758 AZ Primary

Addresses

Primary practice location

22881 N 103Rd LN
Peoria, AZ 85383-2757

Mailing address

22881 N 103Rd LN
Peoria, AZ 85383-2757
Phone (847) 890-5703

Other practice location 1

22881 N 103rd Ln
Peoria, AZ 85383-2757
Phone (847) 890-5703

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP7758AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Therapy LLC Speech-Language Pathologist CurrentSince Jan 19, 2020 Accepting new patients
Brad Rice LLC CurrentSince Jan 19, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522454400000",
    "number": "1861751653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22881 N 103RD LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832757",
            "telephone_number": "847-890-5703",
            "fax_number": "833-815-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22881 N 103RD LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832757",
            "telephone_number": "847-890-5703",
            "fax_number": "833-815-2428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22881 N 103rd Ln",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853832757",
            "country_code": "US",
            "telephone_number": "847-890-5703",
            "fax_number": "833-815-2428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICE",
        "first_name": "BRADLEY",
        "middle_name": "D",
        "name_suffix": "Jr.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-14",
        "last_updated": "2018-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP7758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2018; 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.