Michael James Brown, ATC
Individual provider Active NPI Athletic Trainer · Greenville, SC
NPI 1124374699 · NPPES record last updated Aug 1, 2012
Key facts
- NPI
- 1124374699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 1375 (SC)
- Practice address
- 3300 Poinsett Hwy
Greenville, SC 29613-0002 - Phone
- (864) 294-2130
- NPI assigned
- Aug 1, 2012
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1375 | SC | Yes |
Addresses
Primary practice location
3300 Poinsett Hwy
Greenville, SC 29613-0002
Mailing address
3300 Poinsett Hwy
Greenville, SC 29613-0002
Phone (864) 294-2130
Other providers in Greenville, SC
- Linzey Elaine Brown
- Malissa Rene Brown
- Maxine Brown
- Melissa Autumn Brown
- Melody Brown
- Michael Keller Brown
- Michael Tyler Brown
- Michelle Marie Brown
- Molly Elizabeth Brown
- Niki Jo Brown
All providers in Greenville, SC · Athletic Trainer in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2012. 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.