Brandon Lawrence Dasilva

Individual provider Active NPI Athletic Trainer · University, MS

NPI 1215842018 · NPPES record last updated Aug 17, 2026

Key facts

NPI
1215842018
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
642 All American Drive
University, MS 38677
Phone
(847) 942-9909
NPI assigned
Aug 17, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Yes

Addresses

Primary practice location

642 All American Drive
University, MS 38677

Mailing address

642 All American Drive
University, MS 38677
Phone (847) 942-9909

Other providers in University, MS

All providers in University, MS · Athletic Trainer in Mississippi

Sources for this page

Verify at the official NPI Registry.