Active NPI
Nam Vu
- Athletic Trainer
- Bedford, TX
National Provider Identifier
1457955627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT5293
- Practice address
- 1501 Central Dr
Bedford, TX 76022 - Phone
- (817) 399-2306
- NPI assigned
- Nov 28, 2020
- Last updated
- Nov 28, 2020
- 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 | AT5293 | TX | Primary |
Addresses
Primary practice location
1501 Central Dr
Bedford, TX 76022
Mailing address
709 W Cedar St
Hurst, TX 76053-5521
Phone (682) 521-9341
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AT5293 | Other | TX | TDLR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| AT5293 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606521600000",
"number": "1457955627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 W CEDAR ST",
"city": "HURST",
"state": "TX",
"postal_code": "760535521",
"telephone_number": "682-521-9341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 CENTRAL DR",
"city": "BEDFORD",
"state": "TX",
"postal_code": "76022",
"telephone_number": "817-399-2306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VU",
"first_name": "NAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-28",
"last_updated": "2020-11-28",
"certification_date": "2020-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT5293",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TDLR",
"identifier": "AT5293",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.