Andi Bender, ATC – Athletic Trainer in Elon, NC

Key facts

NPI: 1114177136
Entity type: Individual (NPI type 1)
Primary specialty: Athletic Trainer 2255A2300X
License: NC1117 (NC)
Practice address: 2500 Campus Box
Elon University at Department
Elon, NC 27244
Phone: (336) 278-6800
Fax: (336) 278-6767
NPI assigned: Sep 26, 2008
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Elon University Primary Care Clinic/Center · Elon, NC · NPI 1265672174

NPD (past)

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
NC1117	NC	MD	Athletic Trainer

Practice roles

Organization	Specialty	Status	New patients
Elon University		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Athletic Trainer	2255A2300X	NC1117	NC	Yes

Addresses

Primary practice location

2500 Campus Box
Elon University at Department
Elon, NC 27244

Mailing address

32 Arbor Hill PL
MC Leansville, NC 27301-9311
Phone (336) 278-6800

Other identifiers

Identifier	Type	State	Issuer
NC1117	Other	NC	STATE LICENSE

Other providers in Elon, NC

All providers in Elon, NC · Athletic Trainer in North Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2008. 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.

Verify at the official NPI Registry.