Active NPI
Brandon Jones Jr.
- Athletic Trainer
- Lafayette, LA
National Provider Identifier
1578284410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 012637963
- Practice address
- 104 E University Ave
Lafayette, LA 70503-2014 - Phone
- (150) 449-5322
- NPI assigned
- Sep 8, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 012637963 | LA | Primary |
Addresses
Primary practice location
104 E University Ave
Lafayette, LA 70503-2014
Mailing address
1944 Melba PL
Marrero, LA 70072-6707
Phone (150) 449-5322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012637963 | LA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1578284410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1944 MELBA PL",
"city": "MARRERO",
"state": "LA",
"postal_code": "700726707",
"telephone_number": "150-449-5322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 E UNIVERSITY AVE",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032014",
"telephone_number": "150-449-5322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "BRANDON",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-08",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "LA",
"license": "012637963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.