Brian Bizzarro, LAT ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL3126 Issued in FL

Practice address

13275 Livingston Rd
Naples, FL 34109-3859

Phone

(239) 597-7575

NPI assigned

Jul 16, 2016

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

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

{
    "created_epoch": "1468627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468627200000",
    "number": "1194178905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3329 CYPRESS LEGENDS CIR APT 1013",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339055540",
            "telephone_number": "631-398-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13275 LIVINGSTON RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093859",
            "telephone_number": "239-597-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIZZARRO",
        "first_name": "BRIAN",
        "credential": "LAT ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-16",
        "last_updated": "2016-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL3126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Marie Bishr, MS ARNP C
• Jill Kimberly Bittinger, MSN FNP
• Linda S Bittner, APRN
• Carolyn Bivans, RDN
• Barbara Bixby, ARNP
• Andrica Bjazevic
• Karina M Bjazevic
• Lauren Marie Blackburn, PTA
• Monika Blackmon
• Brian Paul Blaine, PHARMACIST

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2016; 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.