Greg Bauer, L.A.T., A.T.C.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT0591 Issued in TX

Practice address

200 S Blue Ridge Pkwy
Cedar Park, TX 78613-3026

Phone

(512) 694-8391

NPI assigned

Dec 21, 2015

Last updated

Dec 21, 2015By the provider in NPPES

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": "1450656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1417312240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S BLUE RIDGE PKWY",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133026",
            "telephone_number": "512-694-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S BLUE RIDGE PKWY",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133026",
            "telephone_number": "512-694-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "GREG",
        "credential": "L.A.T., A.T.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-21",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT0591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blair Russ Barnett, D.D.S., M.S.
• Mikailah Elise Barrus
• Nicole Reyes Basa, M.D.
• Nabanita Basu, M.D.
• William Batten, D.D.S.
• Jenny Morales Bauerlein, LCSW
• Ramya Baumgardner, MD
• Shirin M Bazaz, PSY.D.
• BC Collins Home
• Beacon Behavioral of Texas PA (Earthman / Cedar Park TMS)

• Athletic Trainer in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.