Brian Jonathan Stout, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601002191 Issued in MI

Practice address

2801 W Bancroft St
Toledo, OH 43606-3390

Phone

(734) 216-5132

NPI assigned

Sep 12, 2016

Sex

Male

Sole proprietor

No

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": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1427506120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7968 RAMBLEWOOD CT",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481977170",
            "telephone_number": "734-216-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 W BANCROFT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063390",
            "telephone_number": "734-216-5132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 E 5th St",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460123462",
            "country_code": "US",
            "telephone_number": "734-216-5132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOUT",
        "first_name": "BRIAN",
        "middle_name": "JONATHAN",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-12",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601002191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cara Story
• Asia Alexandra Stotts
• Walter E Stotz, MD
• Ingrid L Stoudimire
• Natalie Stough, LPCC
• Carey Marie Stout, RPH
• Karen Stout
• Kimberly Stout, PT
• James Francis Stover II, LICDC-CS
• Michelle Stoyell-Conti

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.