Daniel Gerald O'Bryant, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1160 Navarro Avenue
Montgomery, AL 36106

Phone

(334) 830-8753

Fax

(334) 833-4026

NPI assigned

Jul 21, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1114334281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5385 DEATSVILLE HWY",
            "city": "DEATSVILLE",
            "state": "AL",
            "postal_code": "360226066",
            "telephone_number": "334-830-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 NAVARRO AVENUE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36106",
            "telephone_number": "334-830-8753",
            "fax_number": "334-833-4026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "UWA Station 14",
            "address_2": "University of West Alabama",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "AL",
            "postal_code": "35470",
            "country_code": "US",
            "telephone_number": "205-652-3714",
            "fax_number": "205-652-3799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRYANT",
        "first_name": "DANIEL",
        "middle_name": "GERALD",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-21",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Athletic Trainer in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.

Verify at the official NPI Registry.