Active NPI
Brandon Allen Barnard, ATC, LAT
- Athletic Trainer
- Normal, AL
National Provider Identifier
1083006829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1934
- Practice address
- 4900 Meridian St NW
Normal, AL 35762-7500 - Phone
- (256) 372-8004
- Fax
- (256) 372-8480
- NPI assigned
- Mar 3, 2015
- Last updated
- Feb 27, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | IL | ||
| Athletic Trainer | 2255A2300X | 1934 | AL | Primary |
Addresses
Primary practice location
4900 Meridian St NW
Normal, AL 35762-7500
Mailing address
383 Jasmine Dr
Madison, AL 35757-4601
Phone (256) 348-0618
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000022808 | Other | NATA BOC CERTIFIED ATHLETIC TRAINER |
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 |
|---|---|---|---|
| 1934 | AL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551225600000",
"number": "1083006829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "383 JASMINE DR",
"city": "MADISON",
"state": "AL",
"postal_code": "357574601",
"telephone_number": "256-348-0618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 MERIDIAN ST NW",
"city": "NORMAL",
"state": "AL",
"postal_code": "357627500",
"telephone_number": "256-372-8004",
"fax_number": "256-372-8480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNARD",
"first_name": "BRANDON",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-03",
"last_updated": "2019-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "1934",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATA BOC CERTIFIED ATHLETIC TRAINER",
"identifier": "2000022808",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Normal, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.