Brian Paul Patterson, ATC, PTA

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT-001734 Issued in OH

Practice address

420 Caroline Ave
Youngstown, OH 44504-1529

Phone

(330) 480-3010

Fax

(330) 480-2594

NPI assigned

Jul 26, 2023

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Columbus Radiology Corp

  • Diagnostic Radiology Physician
  • Columbus, OH
  • NPI 1669408159
  NPD (past)
• Mercy Health Youngstown LLC

  • Durable Medical Equipment & Medical Supplies
  • Youngstown, OH
  • NPI 1245180785
  NPD (past)

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1245911023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5735 NORQUEST BLVD",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445152201",
            "telephone_number": "330-883-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 CAROLINE AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041529",
            "telephone_number": "330-480-3010",
            "fax_number": "330-480-2594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "BRIAN",
        "middle_name": "PAUL",
        "credential": "ATC, PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT-001734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathology Consultants LLC
• Prabhav Patil, M.D.
• Destiny Patrick, RPH
• Julianna Patrick
• Alittany Patterson
• Chanyia Patterson
• Chavonne Patterson
• Cherese Lynnette Patterson, PMHNP-BC
• Ebony Patterson
• Jeffrey R Patterson, OD

• Athletic Trainer in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.