Clinton Barthelemy, ATC
Individual provider Active NPI Athletic Trainer · Vestavia, AL
NPI 1396192589 · NPPES record last updated Nov 5, 2021
Key facts
- NPI
- 1396192589
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 1231 (AL)
- Practice address
- 5018 Cahaba River Rd
Vestavia, AL 35243-2317 - Phone
- (205) 747-2710
- NPI assigned
- May 18, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1231 | AL | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1231 | AL | Yes |
Addresses
Primary practice location
5018 Cahaba River Rd
Vestavia, AL 35243-2317
Mailing address
5018 Cahaba River Rd
Vestavia, AL 35243-2317
Phone (205) 747-2710
Other providers in Vestavia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.