Active NPI
Bryan C Hutson, LAT, ATC, NREMT
- Athletic Trainer
- Baton Rouge, LA
National Provider Identifier
1265068241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- ATH.200091
- Practice address
- 10200 E Brookside Dr
Baton Rouge, LA 70818-5499 - Phone
- (225) 261-3438
- Fax
- (225) 261-3501
- NPI assigned
- Mar 21, 2020
- 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 | ATH.200091 | LA | Primary |
Addresses
Primary practice location
10200 E Brookside Dr
Baton Rouge, LA 70818-5499
Mailing address
10200 E Brookside Dr
Baton Rouge, LA 70818-5499
Phone (225) 261-3438
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.centralcss.org | Direct |
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 |
|---|---|---|---|
| ATH.200091 | LA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584748800000",
"number": "1265068241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10200 E BROOKSIDE DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708185499",
"telephone_number": "225-261-3438",
"fax_number": "225-261-3501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10200 E BROOKSIDE DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708185499",
"telephone_number": "225-261-3438",
"fax_number": "225-261-3501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTSON",
"first_name": "BRYAN",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "LAT, ATC, NREMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-21",
"last_updated": "2020-03-21",
"certification_date": "2020-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "LA",
"license": "ATH.200091",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.centralcss.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "10200 E Brookside Dr",
"city": "Baton Rouge",
"state": "LA",
"country_code": "US",
"postal_code": "708185499",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.