Brianna Kierra Blackshear
Individual provider Active NPI Athletic Trainer · Bridgewater, VA
NPI 1134736804 · NPPES record last updated Sep 28, 2020
Key facts
- NPI
- 1134736804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 402 E College St
Bridgewater, VA 22812-1599 - Phone
- (540) 828-8000
- NPI assigned
- Sep 28, 2020
- Sex
- Female
- 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 | Yes |
Addresses
Primary practice location
402 E College St
Bridgewater, VA 22812-1599
Mailing address
402 E College St
Bridgewater, VA 22812-1599
Phone (540) 828-8000
Other providers in Bridgewater, VA
- Donald Richard Bell
- Jeremy Glenn Bender
- Bernard Ang DMD of Bridgewater PC
- Better Choice Transport LLC
- Pierce Marcel Billups
- Devontay M Blair
- McKenna Boswell
- Bridgewater Chiropractic Center
- Bridgewater Counseling Services PC
- Bridgewater Counseling Services, PC
All providers in Bridgewater, VA · Athletic Trainer in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2020. 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.