Brian C McCloskey, ATC, LAT, CEAS II

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT002070A Issued in PA

Practice address

986 Main St
Sewell, NJ 08080-4552

Phone

(610) 322-9176

NPI assigned

Dec 28, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1124615000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "986 MAIN ST",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080804552",
            "telephone_number": "610-322-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "986 MAIN ST",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080804552",
            "telephone_number": "610-322-9176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLOSKEY",
        "first_name": "BRIAN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "ATC, LAT, CEAS II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00270200",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT002070A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MBPS Enterprises
• Courtney McAnally, CRNP
• Julia Christine McCarthy
• John James McCarty, D.M.D.
• Meredith A McClain, LCSW
• Twanna McClure
• Kelly McCollick
• Kristina Lyn McCollum, OTR/L
• Caroline Maria McCullough, OTD, OTR/L
• Maura McCusker

• Athletic Trainer in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Athletic Trainer in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.