Michael Baum, MA, ATC, PES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT5688 Issued in TX

Practice address

Tcu Sports Medicine
Tcu Box 297600
Fort Worth, TX 76129-0001

Phone

(817) 257-6649

Fax

(817) 257-7323

NPI assigned

Apr 10, 2013

Last updated

Nov 26, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1104269109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TCU SPORTS MEDICINE",
            "address_2": "TCU BOX 297600",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761290001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TCU SPORTS MEDICINE",
            "address_2": "TCU BOX 297600",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761290001",
            "telephone_number": "817-257-6649",
            "fax_number": "817-257-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUM",
        "first_name": "MICHAEL",
        "credential": "MA, ATC, PES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-10",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT5688",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": "2306",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Batts, MA, LCDC
• Sara Kathryn Batts, LCSW-S
• Tarun Battu, MD
• Padmaja P Battula, MD
• Pallavi Kiran Batwar, M.D
• Taylor Ann Bauman, PT, DPT
• Joane Baumer, M.D.
• Jeff Baures, D.C.
• Evangelina Baustista
• Hanna Bautista, RBT

• Athletic Trainer in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.