Active NPI
Devon Lauren Brosh
- Athletic Trainer
- Appomattox, VA
National Provider Identifier
1174979280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0126002728
- Practice address
- 198 Evergreen Ave
Appomattox, VA 24522-4080 - Phone
- (434) 944-8928
- NPI assigned
- May 6, 2016
- Last updated
- Sep 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | 0126002728 | VA | Primary |
Addresses
Primary practice location
198 Evergreen Ave
Appomattox, VA 24522-4080
Mailing address
1476 Silver Creek Dr
Lynchburg, VA 24503-5075
Phone (434) 944-8928
Other practice location 1
497 Fawn Rdg
Petersburg, WV 26847-8049
Phone (304) 668-2349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0126002728 | VA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538006400000",
"number": "1174979280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1476 SILVER CREEK DR",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245035075",
"telephone_number": "434-944-8928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 EVERGREEN AVE",
"city": "APPOMATTOX",
"state": "VA",
"postal_code": "245224080",
"telephone_number": "434-944-8928"
}
],
"practiceLocations": [
{
"address_1": "497 Fawn Rdg",
"address_purpose": "LOCATION",
"city": "Petersburg",
"state": "WV",
"postal_code": "268478049",
"country_code": "US",
"telephone_number": "304-668-2349",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROSH",
"first_name": "DEVON",
"middle_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-06",
"last_updated": "2018-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VA",
"license": "0126002728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Appomattox, VA
- Gregory Barton
- Blue Ridge Health Center Inc (Blue Ridge Medical Center--Appomattox)
- Tammy V Bogart, NP
- Beulah Mae Bolden, LPC
- Teodora Brose
- Latiera Brown
- Kaitlyn Joy Marken Cardwell, RN
- Central Virginia Family Physicians Inc (Appomattox Family Practice)
- Central Virginia Family Physicians, Inc (Appomattox Family Practice)
- Andrew J Chandler III, LPC, LSATP, CSOTP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.