John Brunett, ATC LAT
Individual provider Active NPI Athletic Trainer · Euless, TX
NPI 1104718493 · NPPES record last updated Jul 19, 2025
Key facts
- NPI
- 1104718493
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AT4455 (TX)
- Practice address
- 504 Canterbury St
Euless, TX 76039-7872 - Phone
- (979) 415-4743
- NPI assigned
- Jul 19, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| AT4455 | TX | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT4455 | TX | Yes |
Addresses
Primary practice location
504 Canterbury St
Euless, TX 76039-7872
Mailing address
504 Canterbury St
Euless, TX 76039-7872
Phone (979) 415-4743
Other providers in Euless, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2025. 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.