Active NPI
Brigham Andrew Becker, ATC
- Athletic Trainer
- North Platte, NE
National Provider Identifier
1053698936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 599
- Practice address
- 1115 S Cottonwood St
North Platte, NE 69101-6108 - Phone
- (308) 535-7456
- Fax
- (308) 535-8637
- NPI assigned
- Nov 7, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 599 | NE | Primary |
Addresses
Primary practice location
1115 S Cottonwood St
North Platte, NE 69101-6108
Mailing address
1115 S Cottonwood St
North Platte, NE 69101-6108
Phone (308) 535-7456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 599 | NE | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320624000000",
"number": "1053698936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 S COTTONWOOD ST",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691016108",
"telephone_number": "308-535-7456",
"fax_number": "308-535-8637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 S COTTONWOOD ST",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691016108",
"telephone_number": "308-535-7456",
"fax_number": "308-535-8637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "BRIGHAM",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-07",
"last_updated": "2011-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NE",
"license": "599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Platte, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.