Brandon Soots, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22004963A Issued in IN

Practice address

5810 E County Road 100 N
Avon, IN 46123-8621

Phone

(765) 730-2619

NPI assigned

Dec 3, 2014

Sex

Male

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 Arts

State licenses

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1932506078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 E COUNTY ROAD 100 N",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 E COUNTY ROAD 100 N",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238621",
            "telephone_number": "765-730-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOOTS",
        "first_name": "BRANDON",
        "name_prefix": "Mr.",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22004963A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William B Solik, M.D.
• Robert Christopher Soliven Jr.
• Solus Center for Mind Body Spirit Medicine Inc (William Sobat, MD)
• Teah J Sonicksen, ATC,LAT
• Temitope Sonowo
• Holly Ann Sparks, PHARM.D.
• Cindy Spear, RPH
• Cyndi A Speelman, MD
• Michael Spencer, MA COUNSELING
• Annalisa Sperka, FNP-C

• Speech-Language Pathologist in Avon, IN
• Providers in Avon, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.