Active NPI
Bryce Andrew Ciancio, ATC/L
- Athletic Trainer
- Phenix City, AL
National Provider Identifier
1255678363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1129
- Practice address
- 2400 Dobbs Dr
Phenix City, AL 36870-2305 - Phone
- (334) 298-3626
- NPI assigned
- Jan 9, 2013
- 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 | 1129 | AL | Primary |
Addresses
Primary practice location
2400 Dobbs Dr
Phenix City, AL 36870-2305
Mailing address
5 Oakwood Dr
Phenix City, AL 36870-4773
Phone (334) 707-3286
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1129 | AL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357689600000",
"number": "1255678363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 OAKWOOD DR",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "368704773",
"telephone_number": "334-707-3286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 DOBBS DR",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "368702305",
"telephone_number": "334-298-3626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIANCIO",
"first_name": "BRYCE",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "ATC/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-09",
"last_updated": "2013-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "1129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phenix City, AL
- Chattahoochee Valley Family
- Chattahoochee Valley Home Health, LLC (Centerwell Home Health)
- Chimed Rehab Ficpc, PLLC
- Chimed Rehab Phenix City
- Christa D. Spann DMD, LLC
- Corey Eugene Claiborne, DPT
- Theresa Carlisle Clark, REGISTERED NURSE
- Columbus Ambulatory Healthcare Services, Inc.
- Columbus Hospice of Alabama
- Complete Family Dental, P C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.