Bryn Christopher Vanpatten, PHD, ATC, CSCS, EMT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

709 Issued in NY

Practice address

Providence College 1 Cunningham SQ
Canavan Sports Medicine Center - Alumni Hall
Providence, RI 02918-0001

Phone

(401) 865-2251

Fax

(401) 865-2965

NPI assigned

Aug 16, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Emergency Medical Technician, Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1083727739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY PLZ",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015301",
            "telephone_number": "401-569-3867",
            "fax_number": "718-780-6539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PROVIDENCE COLLEGE 1 CUNNINGHAM SQ",
            "address_2": "CANAVAN SPORTS MEDICINE CENTER - ALUMNI HALL",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029180001",
            "telephone_number": "401-865-2251",
            "fax_number": "401-865-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANPATTEN",
        "first_name": "BRYN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "PHD, ATC, CSCS, EMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "RI",
            "license": "AT00244",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "709",
            "primary": true
        },
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "RI",
            "license": "EMT14833",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter R. Vandyck, OTR
• Vivian Vang
• Vanguard Psychiatry and Wellness, LLC
• Rahul Vanjani, M.D.
• Anna Faith Vankooten, FNP-C
• Marisa Vanpoznak, MD
• Beth Vanpraag, CRNA
• Paul E.a. Vanzuiden, MD
• Maham Vaqar, M.B.,B.S.
• Vincent Michael Varamo, DO

• Athletic Trainer in Providence, RI
• Providers in Providence, RI by specialty
• Athletic Trainer in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; 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.