Active NPI
Nicholas Brady Verlanic, ATC
- Athletic Trainer
- Missoula, MT
National Provider Identifier
1356959688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- ATR-LAT-LIC-2501
- Practice address
- 2360 Mullan Rd Ste C
Missoula, MT 59808-1811 - Phone
- (406) 694-9359
- NPI assigned
- Jul 22, 2020
- 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 | ATR-LAT-LIC-2501 | MT | Primary |
Addresses
Primary practice location
2360 Mullan Rd Ste C
Missoula, MT 59808-1811
Mailing address
2533 Buffalo Horn Dr
Laurel, MT 59044-8319
Phone (406) 694-9359
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 |
|---|---|---|---|
| ATR-LAT-LIC-2501 | MT | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655942400000",
"number": "1356959688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2533 BUFFALO HORN DR",
"city": "LAUREL",
"state": "MT",
"postal_code": "590448319",
"telephone_number": "406-694-9359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2360 MULLAN RD STE C",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081811",
"telephone_number": "406-694-9359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERLANIC",
"first_name": "NICHOLAS",
"middle_name": "BRADY",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-22",
"last_updated": "2022-06-23",
"certification_date": "2022-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MT",
"license": "ATR-LAT-LIC-2501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.