Individual provider Active NPI

Bryan Christian Edwards, ATC

  • Athletic Trainer
  • Greenwood Village, CO
National Provider Identifier
1588016802
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT.0001496 Issued in CO
Practice address
8200 E Belleview Ave
Suite 615
Greenwood Village, CO 80111-2803
Phone
(303) 694-3333
Fax
(303) 694-9666
NPI assigned
Jul 11, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT.0001496 CO Primary

Addresses

Primary practice location

8200 E Belleview Ave
Suite 615
Greenwood Village, CO 80111-2803

Mailing address

8200 E Belleview Ave
Suite 615
Greenwood Village, CO 80111-2803
Phone (303) 694-3333

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

LicenseStateTypeSpecialty
AT.0001496COMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1588016802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 E BELLEVIEW AVE",
            "address_2": "SUITE 615",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112803",
            "telephone_number": "303-694-3333",
            "fax_number": "303-694-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 E BELLEVIEW AVE",
            "address_2": "SUITE 615",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112803",
            "telephone_number": "303-694-3333",
            "fax_number": "303-694-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "BRYAN",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CO",
            "license": "AT.0001496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.