Mackenzie Breanna Bradley
NPI 1972285351ActiveIndividual· Speech-Language Pathologist· Tyler, TX
Speech-Language Pathologist with Speech Swallowing and Neurological Rehabilitation PLLC, practicing in Tyler, Texas. Medicare paid $89,187 for services to 56 patients in 2024.
Overview
| NPI | 1972285351 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 3, 2023 |
| Last updated in NPPES | Aug 8, 2023 |
| Certified by provider | Aug 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 121426 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 56 |
|---|---|
| Services billed | 1,504 across 5 procedure codes |
| Paid by Medicare | $89,187 |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
| Telehealth | Offers telehealth |
Medical group
- Speech Swallowing and Neurological Rehabilitation PLLCTyler, TX · 5 clinicians
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