Brenton Neuharth, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2015008156 Issued in MO

Practice address

4795 University Blvd
Jupiter, FL 33458

Phone

(608) 844-4664

NPI assigned

May 7, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1508355462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4795 UNIVERSITY BLVD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4795 UNIVERSITY BLVD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33458",
            "telephone_number": "608-844-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUHARTH",
        "first_name": "BRENTON",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "4747",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2015008156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loren Neimark, APRN
• Marvis Lee Nelson, ARNP
• Nemat Clinic Inc
• Ejaz Nemat, MD
• Tamara Z Nemeroff, DPM
• Neuro-Diagnostix
• Neurocare Consultants Inc
• Neurology Specialists of Jupiter PA
• Neuropsychological and Memory Evaluations of Jupiter
• Brandon Travis Nevel, D.C.

• Athletic Trainer in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.