Active NPI
Brian White, ATC/L, ATC, CSCS
- Sports Medicine (Emergency Medicine) Physician
- Commerce, TX
National Provider Identifier
1396515078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Emergency Medicine) Physician
- License
- AT9514
- Practice address
- 2600 W Neal St
Commerce, TX 75428-4311 - Phone
- (650) 823-4929
- NPI assigned
- Jan 4, 2024
- Last updated
- Jan 4, 2024
- 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 |
|---|---|---|---|---|
| Sports Medicine (Emergency Medicine) Physician | 207PS0010X | AT9514 | TX | Primary |
Addresses
Primary practice location
2600 W Neal St
Commerce, TX 75428-4311
Mailing address
2600 W Neal St
Commerce, TX 75428-4311
Phone (650) 823-4929
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 |
|---|---|---|---|
| AT9514 | TX | MD | Sports Medicine (Emergency Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704326400000",
"number": "1396515078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 W NEAL ST",
"city": "COMMERCE",
"state": "TX",
"postal_code": "754284311",
"telephone_number": "650-823-4929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 W NEAL ST",
"city": "COMMERCE",
"state": "TX",
"postal_code": "754284311",
"telephone_number": "650-823-4929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "BRIAN",
"credential": "ATC/L, ATC, CSCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-04",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207PS0010X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Sports Medicine",
"state": "TX",
"license": "AT9514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Commerce, TX
- Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0240)
- Walgreen Co (Walgreens #21492)
- Tony Glen Wallen, DO
- Samone G Weatherly, FNP-C
- Brian P Weber, PA-C
- Shelby Breeann Wicks
- William R. Janacek (CardiO Pulmonary Diagnostics)
- Jeffrey Williams, LAT, ATC, CSCS
- Angie D. Wilson, PH.D, LPC, LSOTP
- Damesha R Young
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.