Fernando Miguel Perez, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

2820 Hper Center
Brookings, SD 57007-1497

Phone

(605) 688-4003

NPI assigned

Jul 31, 2014

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South Dakota State University

  • Athletic Trainer
  • Brookings, SD
  • NPI 1053864504
  NPD (past)

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1457769606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 HERITAGE DRIVE",
            "address_2": "APARTMENT #12",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570063469",
            "telephone_number": "801-897-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 HPER CENTER",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570071497",
            "telephone_number": "605-688-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "FERNANDO",
        "middle_name": "MIGUEL",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Jo Osbeck, OTR/L
• Amy Lynn Osterberg
• Amber Overby, CRNA
• Brooke Pape Johnson, LCSW, MSW
• Trevor A Penning, D.C.
• Clark Gerald Perkins, NCC, LPC
• Jacalyn Person, CSW-PIP
• Alyssa Dawn Peterson, PA-C
• Sara Ruth Peterson, DPT
• Brian L Piearson, OD

• Athletic Trainer in Brookings, SD
• Providers in Brookings, SD by specialty
• Athletic Trainer in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.