Brandon Lundin

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

259 Dorchester Manor Blvd
North Charleston, SC 29420-8107

Phone

(706) 594-6484

NPI assigned

Oct 21, 2020

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": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1548869563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 DORCHESTER MANOR BLVD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294208107",
            "telephone_number": "706-594-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 DORCHESTER MANOR BLVD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294208107",
            "telephone_number": "706-594-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDIN",
        "first_name": "BRANDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Luckanish
• Bernd Uwe Luhrs
• Sharon Jane Lui, DMD
• Aidan David Lum Kong, M.D.
• Luminary Love LLC
• Danielle Alexander Lupton, RN
• Rebecca Lux, RRT
• Luxottica of America Inc.
• Luxottica Retail North America Inc
• LW Care LLC

• Athletic Trainer in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Athletic Trainer in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.