Cory Brandon Brown, M.S., A.T.C., L.A.T.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

096.003304 Issued in IL

Practice address

3401 Yorkshire Medical Park
Lexington, KY 40509-2513

Phone

(859) 263-5140

NPI assigned

May 19, 2012

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1337385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1184984528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 GAINESWAY DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405172816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 YORKSHIRE MEDICAL PARK",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092513",
            "telephone_number": "859-263-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CORY",
        "middle_name": "BRANDON",
        "credential": "M.S., A.T.C., L.A.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-19",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096.003304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATA",
            "identifier": "1021710",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOC ATC",
            "identifier": "2000001929",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL STATE LICENSE",
            "identifier": "096.003304",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caleb Wesley Brown, MD
• Carol Brown, R.D.
• Carrie Bell Brown, D.M.D.
• Cathy Whitaker Brown, M.D.
• Cinda Brown, ARNP
• Crystal P Brown
• Cynthia Joan Brown, LCSW
• Daisy E Brown, LCSW
• Elizabeth Rhiannon Brown, LCSW
• Evan Brown, DAC, LAC

• Athletic Trainer in Lexington, KY
• Providers in Lexington, KY by specialty
• Athletic Trainer in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.