Active NPI
Brian J Milnarich, LAT
- Athletic Trainer
- Appleton, WI
National Provider Identifier
1316935083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 55639
- Practice address
- N496 Milky Way
Appleton, WI 54915-3993 - Phone
- (920) 420-4371
- NPI assigned
- Oct 7, 2005
- 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 | 55639 | WI | Primary |
Addresses
Primary practice location
N496 Milky Way
Appleton, WI 54915-3993
Mailing address
N9642 County Rd N
Appleton, WI 54915-9312
Phone (920) 420-4371
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 |
|---|---|---|---|
| 55639 | WI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304294400000",
"number": "1316935083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N9642 COUNTY RD N",
"city": "APPLETON",
"state": "WI",
"postal_code": "549159312",
"telephone_number": "920-420-4371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N496 MILKY WAY",
"city": "APPLETON",
"state": "WI",
"postal_code": "549153993",
"telephone_number": "920-420-4371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILNARICH",
"first_name": "BRIAN",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-07",
"last_updated": "2011-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WI",
"license": "55639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.