Brandon Hudnall, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL4490 Issued in FL

Practice address

2231 Hampton Greens Blvd
Apt 105
Melbourne, FL 32935-5637

Phone

(540) 250-3085

NPI assigned

Apr 24, 2017

Last updated

Apr 24, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12262/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 3D Sports Medicine and Orthopaedic Center

  • Medical Specialty Clinic/Center
  • Indian Harbour Beach, FL
  • NPI 1972042257
  NPD (past) Authorized official

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1174058572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 HAMPTON GREENS BLVD",
            "address_2": "APT 105",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 HAMPTON GREENS BLVD",
            "address_2": "APT 105",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355637",
            "telephone_number": "540-250-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDNALL",
        "first_name": "BRANDON",
        "name_prefix": "Mr.",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL4490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ningyi Huang, MD
• Huber Chiropractic, P.a.
• Robert M. Huberman, M.D.
• Paige Elise Hubert, PT, DPT
• Joy L Huddleston, M.D.
• Amanda Chyrlesa Hudson, PTA
• Keisha Hudson
• Omar Dean Hudson, M.D.
• Shauntel Hudson
• Jason Hueppchen, RN

• Athletic Trainer in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.