Aidan August Broker

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1 E 45TH St
Savannah, GA 31405-2112

Phone

(912) 659-7679

NPI assigned

Jun 16, 2023

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": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1346925443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E 45TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314052112",
            "telephone_number": "912-659-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E 45TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314052112",
            "telephone_number": "912-659-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROKER",
        "first_name": "AIDAN",
        "middle_name": "AUGUST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia Brodeur-Lyons, OT
• Benjamin Richard Brodhead, L.AC.
• Elizabeth House Brodhead, LCSW
• Laura Taylor Brodmann, PHARMD
• Samantha Brody, PHARMD
• William James Bromberg, MD
• Jennifer Goodrich Bromley, M.D.
• Terri Brooke, MA, BCBA
• Jessica Brookens
• Katelyn Michelle Brooker, PA-C

• Athletic Trainer in Savannah, GA
• Providers in Savannah, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.