Active NPI
Brent C Huff, LAT
- Athletic Trainer
- St Charles, IL
National Provider Identifier
1497952451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 096001997
- Practice address
- 525 Tyler Rd
Suite J
St Charles, IL 60174-3305 - Phone
- (630) 584-2070
- Fax
- (630) 584-2465
- NPI assigned
- Jul 2, 2007
- 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 | 096001997 | IL | Primary |
Addresses
Primary practice location
525 Tyler Rd
Suite J
St Charles, IL 60174-3305
Mailing address
2045 Thornwood Circle
St. Charles, IL 60174
Phone (520) 234-2136
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 |
|---|---|---|---|
| 096001997 | IL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365033600000",
"number": "1497952451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2045 THORNWOOD CIRCLE",
"city": "ST. CHARLES",
"state": "IL",
"postal_code": "60174",
"telephone_number": "520-234-2136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 TYLER RD",
"address_2": "SUITE J",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601743305",
"telephone_number": "630-584-2070",
"fax_number": "630-584-2465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUFF",
"first_name": "BRENT",
"middle_name": "C",
"credential": "LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-02",
"last_updated": "2013-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": "096001997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.