Andrew Jacob Bumgarner, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT001434 Issued in WV

Practice address

1 John Marshall Dr
Huntington, WV 25755-0002

Phone

(304) 696-2639

Fax

(304) 696-3657

NPI assigned

Jun 1, 2017

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

State licenses

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496275200000",
    "number": "1568990760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 CHARLESTON AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013623",
            "telephone_number": "937-631-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JOHN MARSHALL DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257550002",
            "telephone_number": "304-696-2639",
            "fax_number": "304-696-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMGARNER",
        "first_name": "ANDREW",
        "middle_name": "JACOB",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-01",
        "last_updated": "2017-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WV",
            "license": "AT001434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaquaan Buie
• Kristina Bullington, CRNA
• Matthew Wayne Bullock, D.O.
• Melissa McLean Bullock, D.O.
• Shawna Bumgardner, COUNSELOR
• Debra Bunch
• Ernestine Bunting
• Chassee Burcham
• Melora Burchell
• Barry Burchett, M.D.

• Athletic Trainer in Huntington, WV
• Providers in Huntington, WV by specialty
• Athletic Trainer in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2017; 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.