Brynn Elissa Schuckman, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

36001216A Issued in IN

Practice address

107 S Indiana Ave
Bloomington, IN 47405-7000

Phone

(812) 855-4509

NPI assigned

Feb 10, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1053384735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 WOODBRIDGE DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474082781",
            "telephone_number": "501-908-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S INDIANA AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474057000",
            "telephone_number": "812-855-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUCKMAN",
        "first_name": "BRYNN",
        "middle_name": "ELISSA",
        "name_prefix": "Ms.",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36001216A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED ATHLETIC TRAINER",
            "identifier": "36001216A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John William Schrader, HSD, LAT, ATC
• Alexander Schreiner, PA-C
• David H Schroeder
• Mary Beth Schroeder, COTA
• Scott T Schroeder, PT
• Chad William Schultheis, M.D.
• Matthew Edward Schulz, D.C., L.AC.
• Olivia Schuman
• Nadia Schumpert, COTA
• Katherine L Schuttler

• Athletic Trainer in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Athletic Trainer in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.