Bradley Alan Duplantis, B.S., ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

101 N McCracken St
Chouteau, OK 74337-3219

Phone

(918) 476-8334

NPI assigned

Aug 22, 2017

Last updated

Aug 22, 2017By the provider in NPPES

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

Credentials

Bachelor of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503360000000",
    "number": "1427574383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 SE 17TH ST APT B",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743618152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MCCRACKEN ST",
            "city": "CHOUTEAU",
            "state": "OK",
            "postal_code": "743373219",
            "telephone_number": "918-476-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPLANTIS",
        "first_name": "BRADLEY",
        "middle_name": "ALAN",
        "credential": "B.S., ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-22",
        "last_updated": "2017-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Chouteau, OK
• Providers in Chouteau, OK by specialty
• Athletic Trainer in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.