Jeffrey William Bishop, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL275 Issued in FL

Practice address

Deland High School
800 N. Hill Ave
Deland, FL 32724

Phone

(386) 822-6909

NPI assigned

Apr 27, 2006

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

State licenses

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568429017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 LAKE MOLLY AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327241706",
            "telephone_number": "386-738-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DELAND HIGH SCHOOL",
            "address_2": "800 N. HILL AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "32724",
            "telephone_number": "386-822-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "JEFFREY",
        "middle_name": "WILLIAM",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark T Bierwagen, PHARMD
• Bruce Laurie Bigman, MD
• Melanie Christine Bingham, LMHC
• Biopsychosocial Counseling, LLC
• Erica Elisabeth Bird, MSPT, ATC, LAT
• Wendi A Bishop
• BKD Sterling House of Deland, LLC
• Blanca Luna MD PA
• Terry Cleve Blanks Jr., DENTIST
• Evan Bloom, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.