Active NPI
Brennen Hudson
- Athletic Trainer
- Warrensburg, MO
National Provider Identifier
1447895016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 108 W South St
Warrensburg, MO 64093-2324 - Phone
- (806) 266-0543
- NPI assigned
- Nov 7, 2019
- 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 | Primary |
Addresses
Primary practice location
108 W South St
Warrensburg, MO 64093-2324
Mailing address
114 County Road 302
Fayette, MO 65248-9451
Phone (660) 248-1745
Other practice location 1
114 County Road 302
Fayette, MO 65248-9451
Phone (660) 248-1745
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573084800000",
"number": "1447895016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 COUNTY ROAD 302",
"city": "FAYETTE",
"state": "MO",
"postal_code": "652489451",
"telephone_number": "660-248-1745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 W SOUTH ST",
"city": "WARRENSBURG",
"state": "MO",
"postal_code": "640932324",
"telephone_number": "806-266-0543"
}
],
"practiceLocations": [
{
"address_1": "114 County Road 302",
"address_purpose": "LOCATION",
"city": "Fayette",
"state": "MO",
"postal_code": "652489451",
"country_code": "US",
"telephone_number": "660-248-1745",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUDSON",
"first_name": "BRENNEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-07",
"last_updated": "2019-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warrensburg, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.