Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023590643 Individual Practitioner Female Practitioner

Madison Lauren Brazeel , MS, CCC-SLP

Speech-Language Pathologist • Bismarck, ND

Professional Overview & Biography Verified Profile Summary

Madison Brazeel, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Bismarck, ND. Practice services are available at 2625 N 19TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2625 N 19th St

Bismarck, ND 585030574

Telephone 7012223175
Fax 7012223186
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Bismarck, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.5 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
152 Specialists

Practicing in Bismarck, ND (1024 Statewide)

Telehealth Adoption Rate
2.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-04-19
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License ND 1947

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

State License CA RBT-18-64141

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1483045 (ND)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kelli Ellenbaum , MS, CCC-SLP

Speech-Language Pathologist

NPI 1003934878

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Sierra Burgess , MS

Speech-Language Pathologist

NPI 1013227727

Master of Science

Chelsea Phillipe , MS, CCC-SLP

Speech-Language Pathologist

NPI 1013277664

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Dr. Laura Kendall , DPT

Physical Therapist

NPI 1013313535

Doctor of Physical Therapy

Katrina Iluk , SLP

Speech-Language Pathologist

NPI 1013835123

Speech-Language Pathologist

Linaya Ming , MS, CCC-SLP

Speech-Language Pathologist

NPI 1023371374

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
👤
Provider Name / Credentials Updated April 19, 2022

Recorded as MADISON BRAZEEL, MS, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2021

Behavior Technician (License #RBT-18-64141 in CA)

📍
Updated Practice Location July 22, 2021

Registered at 2625 N 19TH ST, BISMARCK, ND 585030574 (Tel: 7012223175)

📍
Updated Business Mailing Address July 22, 2021

Registered at 2625 N 19TH ST, BISMARCK, ND 585030574 (Tel: 7012223175)

👤
Provider Name / Credentials Updated July 22, 2021

Recorded as MADISON BRAZEEL, MS, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2021

Speech-Language Pathologist (License #1947 in ND)

NPI Profile Active August 30, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 30, 2018

Registered at 3731 6TH AVE STE 100, SAN DIEGO, CA 921034383 (Tel: 8552237123)

📍
Updated Business Mailing Address August 30, 2018

Registered at 16782 VON KARMAN AVE STE 11, IRVINE, CA 926062417 (Tel: 8552237123)

👤
Provider Name / Credentials Updated August 30, 2018

Recorded as MADISON BRAZEEL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2018

Behavior Technician (License #RBT-18-64141 in CA)

🟢
Initial NPI Registration & Enumeration August 30, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1023590643
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2018
Last Update: April 19, 2022
Sole Proprietor: No

Mailing Address

2625 N 19th St

Bismarck, ND 585030574

Phone: 7012223175

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.