Active NPI
Brent Laurence Parsons, ATC
- Athletic Trainer
- Grand Forks, ND
National Provider Identifier
1588873582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 218-99
- Practice address
- 1200 S Columbia Rd
Grand Forks, ND 58201-4036 - Phone
- (701) 780-2315
- NPI assigned
- May 22, 2007
- Last updated
- Jul 8, 2007
- 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 | 218-99 | ND | Primary |
Addresses
Primary practice location
1200 S Columbia Rd
Grand Forks, ND 58201-4036
Mailing address
630 20TH St NW
East Grand Forks, MN 56721-1228
Phone (218) 773-4330
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 |
|---|---|---|---|
| 218-99 | ND | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1588873582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 20TH ST NW",
"city": "EAST GRAND FORKS",
"state": "MN",
"postal_code": "567211228",
"telephone_number": "218-773-4330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 S COLUMBIA RD",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014036",
"telephone_number": "701-780-2315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARSONS",
"first_name": "BRENT",
"middle_name": "LAURENCE",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "ND",
"license": "218-99",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Forks, ND
Sources for this page
- 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.