Janine Gullick Bridenbaugh, MS,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146002306 Issued in IL

Practice address

125 Huntwood Rd
Swansea, IL 62226-1923

Phone

(618) 277-2100

NPI assigned

Dec 20, 2013

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1871914671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 HUNTWOOD RD",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261923",
            "telephone_number": "618-277-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 HUNTWOOD RD",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261923",
            "telephone_number": "618-277-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDENBAUGH",
        "first_name": "JANINE",
        "middle_name": "GULLICK",
        "name_prefix": "Mrs.",
        "credential": "MS,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-20",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146002306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Alexander Bowles, LMT, MMP
• Molly A Braddock, PA-C
• Samantha Lynn Braden, AUD
• Bravo Care of Swansea Inc
• Breeze Hospice, LLC
• Lawrence E Bridges, DC
• Bright Smiles
• Matthew Brigman
• Brigitta M. Brink, RN, MSN, CWOCN
• Abigail Brown

• Speech-Language Pathologist in Swansea, IL
• Providers in Swansea, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.