Active NPI
Benjamin Angle
- Athletic Trainer
- Mountain BRK, AL
National Provider Identifier
1346756541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1638
- Practice address
- 3800 River Run Dr
Mountain BRK, AL 35243-4701 - Phone
- (205) 970-2350
- NPI assigned
- Dec 26, 2017
- Last updated
- Dec 26, 2017
- 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 | 1638 | AL | Primary |
Addresses
Primary practice location
3800 River Run Dr
Mountain BRK, AL 35243-4701
Mailing address
1085 Jones Chapel Loop
Springville, AL 35146
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514246400000",
"number": "1346756541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1085 JONES CHAPEL LOOP",
"city": "SPRINGVILLE",
"state": "AL",
"postal_code": "35146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 RIVER RUN DR",
"city": "MOUNTAIN BRK",
"state": "AL",
"postal_code": "352434701",
"telephone_number": "205-970-2350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGLE",
"first_name": "BENJAMIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-26",
"last_updated": "2017-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "1638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain BRK, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.