Individual provider Active NPI

Brandon Kron, ATC

  • Athletic Trainer
  • Florence, KY
National Provider Identifier
1457890980
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT857 Issued in KY
Practice address
68 Cavalier Blvd
1700
Florence, KY 41042-1645
Phone
(859) 283-0707
Fax
(859) 647-3022
NPI assigned
Feb 16, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT857 KY Primary
Athletic Trainer 2255A2300X AT003585 OH

Addresses

Primary practice location

68 Cavalier Blvd
1700
Florence, KY 41042-1645

Mailing address

68 Cavalier Blvd
1700
Florence, KY 41042-1645
Phone (859) 283-0707

Other identifiers 2

IdentifierTypeStateIssuer
AT857OtherKYKENTUCKY ATHLETIC TRAINER LICENSE
AT003585OtherOHOHIO ATHLETIC TRAINER LICENSE

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

State licenses

LicenseStateTypeSpecialty
AT857KYMDAthletic Trainer
AT003585OHMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1457890980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 CAVALIER BLVD",
            "address_2": "1700",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421645",
            "telephone_number": "859-283-0707",
            "fax_number": "859-647-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CAVALIER BLVD",
            "address_2": "1700",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421645",
            "telephone_number": "859-283-0707",
            "fax_number": "859-647-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRON",
        "first_name": "BRANDON",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KY",
            "license": "AT857",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT003585",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY ATHLETIC TRAINER LICENSE",
            "identifier": "AT857",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO ATHLETIC TRAINER LICENSE",
            "identifier": "AT003585",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.