Anne M Bradley, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT.001447 Issued in CO

Practice address

141 Moby Arena
Colorado State University
Fort Collins, CO 80525

Phone

(970) 491-6756

NPI assigned

Aug 28, 2016

Last updated

Aug 28, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472342400000",
    "number": "1245786581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 W ELIZABETH ST",
            "address_2": "UNIT E",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805215021",
            "telephone_number": "336-345-0686",
            "fax_number": "970-491-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 MOBY ARENA",
            "address_2": "COLORADO STATE UNIVERSITY",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80525",
            "telephone_number": "970-491-6756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "ANNE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CO",
            "license": "AT.001447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Boynton, M.A.
• Jason Brabson
• Brad C Runyan MD PC
• Julia R Braden, L.C.M.T.
• Agnieszka Bradley, CCC-SLP
• Cassandra Lee Bradley, CRNA
• John Carter Bradley, MD
• Kara P Bradley, PAC
• Cynthia S. Bradrick, RN
• Bradshaw Voice and Speech LLC

• Athletic Trainer in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Athletic Trainer in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.