Randall Scott Brackney, ATC/LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT 002171 Issued in OH

Practice address

220 N Patterson Blvd
Dayton, OH 45402-1271

Phone

(937) 228-2287

NPI assigned

Apr 14, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1396709408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 LINCOLN ST",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461681158",
            "telephone_number": "317-839-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N PATTERSON BLVD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454021271",
            "telephone_number": "937-228-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKNEY",
        "first_name": "RANDALL",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "ATC/LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36000387A",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT 002171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINERS LICENSE",
            "identifier": "36000387A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINERS LICENSE",
            "identifier": "AT 002171",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shantae Louise Bozeman
• Vera F Bozeman
• Michelle Braaksma
• Janet M Braciak, MSED, LPCC-S
• Heather Brackman, PHARMD
• Brad Enterprises, Inc.
• Fallon Bradford
• Robyn Bradford, LPN
• Holli Virginia Bradham, CDCA
• Amber Brading, QMHS/CMS

• Athletic Trainer in Dayton, OH
• Providers in Dayton, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.