Active NPI
Brandon David Marreel, ATC; MA
- Athletic Trainer
- Dakota Dunes, SD
National Provider Identifier
1124262571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 00313
- Practice address
- 575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312 - Phone
- (605) 217-2667
- NPI assigned
- Apr 29, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 00313 | IA | Primary |
| Athletic Trainer | 2255A2300X | 268 | NE |
Addresses
Primary practice location
575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312
Mailing address
4157 Casteel CT
Sioux City, IA 51106-4602
Phone (712) 251-6839
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 268 | NE | MD | Addiction (Substance Use Disorder) Counselor |
| 00313 | IA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398124800000",
"number": "1124262571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4157 CASTEEL CT",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511064602",
"telephone_number": "712-251-6839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 N SIOUX POINT RD",
"city": "DAKOTA DUNES",
"state": "SD",
"postal_code": "570495312",
"telephone_number": "605-217-2667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARREEL",
"first_name": "BRANDON",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "ATC; MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-29",
"last_updated": "2014-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IA",
"license": "00313",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NE",
"license": "268",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dakota Dunes, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.