Timothy Kevin Drudge, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

36000399A Issued in IN

Practice address

14455 Clay Terrace Blvd
Suite a
Carmel, IN 46032-3605

Phone

(317) 415-5747

Fax

(317) 415-5748

NPI assigned

Nov 4, 2013

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

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1366871915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 BRASSEUR LN",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460338419",
            "telephone_number": "317-341-4871",
            "fax_number": "317-415-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14455 CLAY TERRACE BLVD",
            "address_2": "SUITE A",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323605",
            "telephone_number": "317-415-5747",
            "fax_number": "317-415-5748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUDGE",
        "first_name": "TIMOTHY",
        "middle_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-04",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36000399A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Renee Drinkut, LSW
• Daniel W Dro, MD
• Allison Harper Drook, RD, LD
• DRS. Lauck and McLean
• Annaleise Nichole Drudge
• Sergiy Druganov
• Lijing Du
• Elena Dubinski, DPT, MBA
• Keaton Dubois, DO
• Brittany Dugan

• Athletic Trainer in Carmel, IN
• Providers in Carmel, IN by specialty
• Athletic Trainer in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.