Active NPI
Brendan Curtin
- Athletic Trainer
- Mount Olive, NC
National Provider Identifier
1417463159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- LAT-3667
- Practice address
- 634 Henderson St
Mount Olive, NC 28365-1263 - Phone
- (919) 658-7860
- NPI assigned
- Dec 18, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | LAT-3667 | NC | Primary |
Addresses
Primary practice location
634 Henderson St
Mount Olive, NC 28365-1263
Mailing address
207 Mountain Top Dr Unit 204
Garner, NC 27529-6618
Phone (774) 265-3343
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 |
|---|---|---|---|
| LAT-3667 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513555200000",
"number": "1417463159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 MOUNTAIN TOP DR UNIT 204",
"city": "GARNER",
"state": "NC",
"postal_code": "275296618",
"telephone_number": "774-265-3343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 HENDERSON ST",
"city": "MOUNT OLIVE",
"state": "NC",
"postal_code": "283651263",
"telephone_number": "919-658-7860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CURTIN",
"first_name": "BRENDAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-18",
"last_updated": "2017-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "LAT-3667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Olive, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.