Robert N Whitehurst II, M.ED, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT003664 Issued in OH

Practice address

1535 E Wooster St
Bowling Green, OH 43403-4046

Phone

(419) 372-2219

Fax

(419) 372-0123

NPI assigned

May 7, 2026

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

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1778112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1124955620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 E WOOSTER ST",
            "address_2": "STROH CENTER - ATHLETIC TRAINING ROOM",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434034046",
            "telephone_number": "419-372-2219",
            "fax_number": "419-372-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 E WOOSTER ST",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434034046",
            "telephone_number": "419-372-2219",
            "fax_number": "419-372-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHURST",
        "first_name": "ROBERT",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "M.ED, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-07",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT003664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Bowling Green, OH
• Providers in Bowling Green, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.