Active NPI
Brandon Michael Martino, ATC
- Athletic Trainer
- Junction City, KS
National Provider Identifier
1316431760
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(2) exclusion effective Apr 20, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 24-00919
- Practice address
- 900 N Eisenhower Dr
Junction City, KS 66441-2018 - Phone
- (785) 209-0428
- NPI assigned
- Jun 19, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 24-00919 | KS | Primary |
Addresses
Primary practice location
900 N Eisenhower Dr
Junction City, KS 66441-2018
Mailing address
1703 Lydia LN
Junction City, KS 66441-1894
Phone (785) 209-0428
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24-00919 | KS | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529366400000",
"number": "1316431760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1703 LYDIA LN",
"city": "JUNCTION CITY",
"state": "KS",
"postal_code": "664411894",
"telephone_number": "785-209-0428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 N EISENHOWER DR",
"city": "JUNCTION CITY",
"state": "KS",
"postal_code": "664412018",
"telephone_number": "785-209-0428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINO",
"first_name": "BRANDON",
"middle_name": "MICHAEL",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-19",
"last_updated": "2018-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "KS",
"license": "24-00919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Junction City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.