Brenton Black
Speech-Language Pathologist • Fort Worth, TX
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Brenton Black has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Brenton Black was a registered Speech-Language Pathologist practicing in Fort Worth, TX. Throughout an active medical career spanning 2 years, Brenton Black provided care at the practice location at 14400 JFK BLVD APT 1218 until profile deactivation on 2023-02-22.
Practice Location & Contact Primary Location
14400 Jfk Blvd Apt 1218
Fort Worth, TX 761551020
Specialty Benchmarks & Practice Insights
Comparative analytics for Speech-Language Pathologist in Fort Worth, TX
Practicing in Fort Worth, TX (17210 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 235Z00000X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 22, 2023
NPI status registered as active in NPPES database
Registered at 14400 JFK BLVD APT 1218, FORT WORTH, TX 761551020 (Tel: 9036092690)
Registered at 14400 JFK BLVD APT 1218, FORT WORTH, TX 761551020 (Tel: 1903609269)
Recorded as BRENTON BLACK
Speech-Language Pathologist (License #115256 in TX)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
14400 Jfk Blvd Apt 1218
Fort Worth, TX 761551020
Phone: 1903609269
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