John Burnside Jr., ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL 2282 Issued in FL

Practice address

777 Glades Rd
Boca Raton, FL 33431-6424

Phone

(561) 297-2044

NPI assigned

May 7, 2015

Last updated

May 7, 2015By 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

State licenses

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1306224688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 TALLWOOD AVE",
            "address_2": "102",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330217973",
            "telephone_number": "561-297-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 GLADES RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316424",
            "telephone_number": "561-297-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNSIDE",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL 2282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Michael Burke, D.P.M
• Daniel Todd Burkholz, P.A.-C
• Leslie Ann Burman, R.D., L.D.
• Arelious Lorenzo Burns
• Gary L Burns, DC
• Christopher Lee Burr, OD
• Brian J Burrough, MD
• Samantha Burstell, ARNP
• Jennifer Helice Bursztein, P.T.
• Jan Mark Burte, PH.D., P.A.

• Athletic Trainer in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.