Bradley William Toepper, MS, AT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601001543 Issued in MI

Practice address

315 Turwill LN
Kalamazoo, MI 49006

Phone

(855) 618-2676

Fax

(269) 381-9334

NPI assigned

Nov 2, 2011

Last updated

Oct 16, 2019By the provider in NPPES

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1528344637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 TURWILL LN",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490064231",
            "telephone_number": "269-501-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 TURWILL LN",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49006",
            "telephone_number": "855-618-2676",
            "fax_number": "269-381-9334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 W Gourley Pike",
            "address_2": "Apt 3",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474042279",
            "country_code": "US",
            "telephone_number": "269-501-5792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOEPPER",
        "first_name": "BRADLEY",
        "middle_name": "WILLIAM",
        "credential": "MS, AT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-02",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601001543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.