Brandon Michael McKown Vidal

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

75 Cyrilla CT
Pensacola, FL 32506-6826

Phone

(850) 982-8535

NPI assigned

Jul 4, 2018

Last updated

Jul 4, 2018By the provider in NPPES

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

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

{
    "created_epoch": "1530662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530662400000",
    "number": "1265928089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 CYRILLA CT",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325066826",
            "telephone_number": "850-982-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CYRILLA CT",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325066826",
            "telephone_number": "850-982-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKOWN VIDAL",
        "first_name": "BRANDON",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-04",
        "last_updated": "2018-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delena McKinnon
• Bryson McKinsey, CRNA
• Adena McKnight, LMHC
• Ellen W McKnight, MD
• G Tipton McKnight, MD
• Courtney McLain, MD
• Jurenda McLamb
• Vicki McLaney, CRNA
• Justice McLaughlin
• Timothy B McLaughlin, MD

• Athletic Trainer in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2018; 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.