Active NPI
Bronson Kahikinaakala Sagon, MS, LAT, ATC, LMT
- Athletic Trainer
- Fort Worth, TX
National Provider Identifier
1205335080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT6924
- Practice address
- Texas Christian University Tcu Box 297600
Fort Worth, TX 76129-0001 - Phone
- (817) 257-5875
- Fax
- (817) 257-7323
- NPI assigned
- Feb 7, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT6924 | TX | Primary |
Addresses
Primary practice location
Texas Christian University Tcu Box 297600
Fort Worth, TX 76129-0001
Mailing address
Tcu Box 297600
Fort Worth, TX 76129-0001
Phone (682) 209-0569
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT6924 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566518400000",
"number": "1205335080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "TCU BOX 297600",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761290001",
"telephone_number": "682-209-0569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TEXAS CHRISTIAN UNIVERSITY TCU BOX 297600",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761290001",
"telephone_number": "817-257-5875",
"fax_number": "817-257-7323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAGON",
"first_name": "BRONSON",
"middle_name": "KAHIKINAAKALA",
"credential": "MS, LAT, ATC, LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-07",
"last_updated": "2019-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT6924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.