Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mackenzie Breanna Bradley

Individual provider Speech-Language Pathologist · NPI 1972285351

Mackenzie Breanna Bradley is a Qualified Speech Language Pathologist in Tyler, Texas. Qualified in 2023, 3 years ago. Practices with Speech Swallowing and Neurological Rehabilitation PLLC, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2023
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Practice location Address checks out

7282 Crosswater Ste 100
Tyler, TX 75703-0659
Phone: (903) 871-5712
Fax: (903) 309-1035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 121426 (TX)

Record details

NPI number1972285351
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 3, 2023
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Speech Swallowing And Neurological Rehabilitation Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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