William Michael O'Bryan VI, ATC, LAT, MSAT, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

ATHL.A1.61474097 Issued in WA

Practice address

3326 E Badger Rd
Everson, WA 98247-9232

Phone

(360) 988-4754

NPI assigned

Jun 30, 2021

Last updated

Oct 9, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1528638574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3791 MT BAKER HWY",
            "city": "EVERSON",
            "state": "WA",
            "postal_code": "982479406",
            "telephone_number": "360-389-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3326 E BADGER RD",
            "city": "EVERSON",
            "state": "WA",
            "postal_code": "982479232",
            "telephone_number": "360-988-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRYAN",
        "first_name": "WILLIAM",
        "middle_name": "MICHAEL",
        "name_suffix": "VI",
        "credential": "ATC, LAT, MSAT, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-30",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "ATHL.A1.61474097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Everson, WA
• Providers in Everson, WA by specialty
• Athletic Trainer in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; 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.