Paul Eric Bragenzer, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

930 S State Rd Ste 10
Harbor Springs, MI 49740-1166

Phone

(231) 242-0791

Fax

(231) 242-0913

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053462184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1197 WOODLAND DR",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709714",
            "telephone_number": "231-348-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 S STATE RD STE 10",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497401166",
            "telephone_number": "231-242-0791",
            "fax_number": "231-242-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGENZER",
        "first_name": "PAUL",
        "middle_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Bellant, CADC-DP
• Tina Bishaw, LMSW
• Barbara Bokram
• Celeste Bondie, LPTA
• Sharon Bordinat
• Kaitlyn Shields Bublitz, LPC
• Rachel Joan Burmeister, NP-C
• Janet Marie Burns, PHD, PA-C
• Carson Consulting Group
• Michael Carson, D.O.

• Athletic Trainer in Harbor Springs, MI
• Providers in Harbor Springs, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.