Phillip Brian Spencer, MSCCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

101754 Issued in TX

Practice address

400 W 14TH Ave
Amarillo, TX 79101-4140

Phone

(806) 337-5016

Fax

(806) 337-5015

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• West Texas a & M University

  • Hearing and Speech Clinic/Center
  • Canyon, TX
  • NPI 1194083311
  NPD
• West Texas a&M University

  • Family Nurse Practitioner
  • Amarillo, TX
  • NPI 1538167853
  NPD
• West Texas a&M University Student Medical Services

  • Student Health Clinic/Center
  • Canyon, TX
  • NPI 1407967599
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1902815202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W 14TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791014140",
            "telephone_number": "806-337-5016",
            "fax_number": "806-337-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 14TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791014140",
            "telephone_number": "806-337-5016",
            "fax_number": "806-337-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "PHILLIP",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "MSCCC/SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "101754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8T4286;8T4074",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175217201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Therese Speirs, DDS
• Stormie Spence, COTA
• Hubert Kenneth Spencer
• John Richard Spencer, D.C.
• Kristin Nicole Spencer, COTA
• Mark A Spielbauer, C.PED.
• Mary Leeann Spier, RN
• Melanie Anne Spier, PHARM.D.
• Brianna Faith Spinks
• Spirit Care of Texas PC

• Speech-Language Pathologist in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.