Active NPI
Bradi Cheesman, ATC, NREMT
- Athletic Trainer
- Indianapolis, IN
National Provider Identifier
1073392072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 5225 E 56TH St
Indianapolis, IN 46226-1403 - Phone
- (317) 968-7361
- NPI assigned
- Sep 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 4701-9518 | IN | |
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
5225 E 56TH St
Indianapolis, IN 46226-1403
Mailing address
900 N John R Wooden Dr
West Lafayette, IN 47907-2117
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 |
|---|---|---|---|
| 4701-9518 | IN | MD | Basic Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717286400000",
"number": "1073392072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 N JOHN R WOODEN DR",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479072117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5225 E 56TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462261403",
"telephone_number": "317-968-7361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEESMAN",
"first_name": "BRADI",
"credential": "ATC, NREMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-27",
"last_updated": "2024-06-02",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "IN",
"license": "4701-9518",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.