Brittany Braun, MSED, LAT, ATC, CSCS
Individual provider Active NPI Athletic Trainer · Demorest, GA
NPI 1063958486 · NPPES record last updated Jan 9, 2017
Key facts
- NPI
- 1063958486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AT002552 (GA)
- Practice address
- 1021 Central Ave
Demorest, GA 30535-5252 - Phone
- (706) 778-3000
- NPI assigned
- Jan 9, 2017
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT002552 | GA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT002552 | GA | Yes |
Addresses
Primary practice location
1021 Central Ave
Demorest, GA 30535-5252
Mailing address
PO Box 10
Demorest, GA 30535-0010
Phone (706) 778-3000
Other providers in Demorest, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2017. 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.