James Bloomcamp, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT339 Issued in OK

Practice address

600 N Grand Ave
Tahlequah, OK 74464-2301

Phone

(918) 444-3921

NPI assigned

Oct 22, 2014

Sex

Male

Sole proprietor

Yes

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": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1063816817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 CHASE AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645294",
            "telephone_number": "918-931-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N GRAND AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744642301",
            "telephone_number": "918-444-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMCAMP",
        "first_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OK",
            "license": "AT339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "22",
            "identifier": "22",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul G Bizzle, DO
• Ladonna Renee Blackbear
• Erin Michelle Blackbird
• Jimmy Blackburn Jr., PHARMD
• Ryan Faye Blankenship, PT, DPT
• Brandi Blossom
• Louis Allen Blowers II, OD
• Dena Shawn Bluebird
• Sadie Terecy Blum, BS, BHRS
• Alexia Aaron Blunt-Cauley

• Athletic Trainer in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Athletic Trainer in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.