Matthew Brian Biancuzzo

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

3089 Issued in MN

Practice address

1 Twins Way
Minneapolis, MN 55403-1418

Phone

(401) 489-3394

NPI assigned

Apr 9, 2018

Last updated

Apr 9, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1164929857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2654 W HORIZON RIDGE PKWY # B5-254",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522803",
            "telephone_number": "401-489-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TWINS WAY",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554031418",
            "telephone_number": "401-489-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIANCUZZO",
        "first_name": "MATTHEW",
        "middle_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NV",
            "license": "0506310",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "3089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdhish Raman Bhavsar, M.D.
• Rozina Bhimani, NNP
• Paula Marie Biagi, MSW, LICSW
• Stephen P Bialon, L.AC
• Yuejuan Bian
• Deanna Marie Bible
• Kaleeca Taniya Bible, R.N.
• Taniya Bible
• Barry William Bicanich, D.C.
• Kelsey Bickmann, RDN

• Athletic Trainer in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.