BRANTLEY BLACK BRUCE CCC-SLP
NPI 1407650708
Speech-Language Pathologist in Suwanee, GA

Q: What is Brantley Black Bruce's NPI number?

The NPI number for Brantley Black Bruce is 1407650708. It was assigned to this individual provider in the NPPES registry on April 3, 2025. The provider is also known as Brantley Black Ccc-Slp.

Q: What is Brantley Black Bruce's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Active since April 03, 2025

437 OLD PEACHTREE RD NW, SUWANEE, GA 30024(678) 301-6000 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Brantley Black Bruce Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANTLEY BLACK BRUCE CCC-SLP (NPI 1407650708) is an individual speech-language pathologist provider in Suwanee, Georgia, licensed in (14173439) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1407650708

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameBRANTLEY BLACK BRUCECredential: CCC-SLP

Location Address437 OLD PEACHTREE RD NWSuwanee, GA 30024-2978

Mailing Address4370 Laurel Grove TrceSuwanee, GA 30024-6930

Phone(678) 301-6000

Sole ProprietorNo

Enumeration DateApril 3, 2025

NPPES CertifiedApril 3, 2025

✔ NPI 1407650708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed · 14173439

Definition

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.

437 OLD PEACHTREE RD NW, Suwanee, GA 30024

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Other Names 1

Former Name (1)Brantley Black Ccc-slp

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GWINNETT COUNTY PUBLIC SCHOOLS

Local Education Agency (LEA)

437 OLD PEACHTREE RD NW
SUWANEE, GA 30024

Gwinnett County (678) 301-7110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brantley Black Bruce's NPI number?

The NPI number for Brantley Black Bruce is 1407650708. It was assigned to this individual provider in the NPPES registry on April 3, 2025. The provider is also known as Brantley Black Ccc-Slp.

Where is Brantley Black Bruce located?

Brantley Black Bruce practices at 437 Old Peachtree Rd NW, Suwanee, GA 30024. The listed phone number is (678) 301-6000.

What is Brantley Black Bruce's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Brantley Black Bruce was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.