Bryan Alves, ATC
Individual provider Active NPI Athletic Trainer · Rochester, NY
NPI 1013540749 · NPPES record last updated Feb 21, 2020
Key facts
- NPI
- 1013540749
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 003179-1 (NY)
- Practice address
- 30 Poplar Garden LN Apt B
Rochester, NY 14606-4826 - Phone
- (585) 414-9952
- NPI assigned
- Feb 21, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003179-1 | NY | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 003179-1 | NY | Yes |
Addresses
Primary practice location
30 Poplar Garden LN Apt B
Rochester, NY 14606-4826
Mailing address
30 Poplar Garden LN Apt B
Rochester, NY 14606-4826
Phone (585) 414-9952
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All providers in Rochester, NY · Athletic Trainer in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.