Ryan Philip Costello
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Bridgewater, VA
NPI 1023978582 · NPPES record last updated Nov 17, 2025
Key facts
- NPI
- 1023978582
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 402 E College St
Bridgewater, VA 22812-1511 - Phone
- (703) 398-6836
- NPI assigned
- Nov 17, 2025
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | VA | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
402 E College St
Bridgewater, VA 22812-1511
Mailing address
113 Cindie LN
Bridgewater, VA 22812-9218
Other providers in Bridgewater, VA
- Linsey Clarke
- Joseph T Cockrell
- Michael John Combs
- Gail Conner
- Clover May Cooper
- Caroline Coulter
- D and G DMD PLLC
- Taylor-Rae Dandorth
- Mary Grace Davy
- Amrita De Zoysa
All providers in Bridgewater, VA · Student in an Organized Health Care Education/Training Program in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2025. 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.