Individual provider Active NPI

Brennen Hudson

  • Athletic Trainer
  • Warrensburg, MO
National Provider Identifier
1447895016
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
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

Updated by the provider on Nov 7, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.