WENDI WALLACE BRUCE CCC/SLP
NPI 1770750648
Speech-Language Pathologist in Jacksonville, FL

Q: What is Wendi Bruce's NPI number?

The NPI number for Wendi Bruce is 1770750648. It was assigned to this individual provider in the NPPES registry on May 10, 2008.

Q: What is Wendi Bruce's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Wendi Bruce was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since May 10, 2008

4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Wendi Wallace Bruce Ccc/slp NPPES

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

WENDI WALLACE BRUCE CCC/SLP (NPI 1770750648) is an individual speech-language pathologist provider in Jacksonville, Florida, licensed in Florida (SA8533) and active in the NPI registry since May 2008. She maintains a secondary practice location in Jacksonville and is a graduate of Other (2004).

NPPES Registry Identity

NPI1770750648

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameWENDI WALLACE BRUCECredential: CCC/SLP

Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865

Mailing AddressPo Box 860912Minneapolis, MN 55486-0912

Phone(904) 953-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateMay 10, 2008

Last NPPES UpdateNovember 24, 2025

NPPES CertifiedNovember 24, 2025

✔ NPI 1770750648 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 in FL · SA8533

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.

4500 SAN PABLO RD S, Jacksonville, FL 32224

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Secondary Practice Location 1

Location 114286 Beach Blvd Ste 34Jacksonville, FL 32250-1570 · Phone (904) 345-7510

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wendi Wallace Bruce Ccc/slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385137934

PECOS Enrollment IDI20251203001023

Other Providers at the Same Location NPPES 20

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

KATHERINE L WALSH PA-C/MPH

Physician Assistant