Julie Ann Bamberg, ATC
Individual provider Active NPI Athletic Trainer · Charleston, SC
NPI 1144759689 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1144759689
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 1834 (SC)
- Practice address
- 1906 Gammon St
Charleston, SC 29414-8129 - Phone
- (561) 389-2610
- Fax
- (561) 389-2610
- NPI assigned
- Jun 8, 2017
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1834 | SC | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1834 | SC | Yes |
Addresses
Primary practice location
1906 Gammon St
Charleston, SC 29414-8129
Mailing address
1906 Gammon St
Charleston, SC 29414-8129
Phone (561) 389-2610
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1834 | Other | SC | HIGH SCHOOL SPORTS COVERAGE |
Other providers in Charleston, SC
- Wendy E Balliet
- Stephen Daniel Ballis
- Erin K Balog
- Ansley Oxford Balogh
- Mona Razzak Balooch
- Melanie Jan Bamert
- Laura Nicole Bamford
- Kelley Banagan
- Varsha M Bandisode
- Chirantan Banerjee
All providers in Charleston, 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 Jun 16, 2018. 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.