Active NPI
Brady Spencer Bassett, MSE, LAT
- Athletic Trainer
- Omaha, NE
National Provider Identifier
1598331597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 926
- Practice address
- 20303 Blue Sage Pkwy
Omaha, NE 68130-3721 - Phone
- (402) 289-0616
- NPI assigned
- Jun 1, 2021
- Last updated
- Jun 1, 2021
- 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 | 926 | NE | Primary |
Addresses
Primary practice location
20303 Blue Sage Pkwy
Omaha, NE 68130-3721
Mailing address
20303 Blue Sage Pkwy
Omaha, NE 68130-3721
Phone (402) 289-0616
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 |
|---|---|---|---|
| 926 | NE | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622505600000",
"number": "1598331597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20303 BLUE SAGE PKWY",
"city": "OMAHA",
"state": "NE",
"postal_code": "681303721",
"telephone_number": "402-289-0616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20303 BLUE SAGE PKWY",
"city": "OMAHA",
"state": "NE",
"postal_code": "681303721",
"telephone_number": "402-289-0616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASSETT",
"first_name": "BRADY",
"middle_name": "SPENCER",
"credential": "MSE, LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-01",
"last_updated": "2021-06-01",
"certification_date": "2021-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NE",
"license": "926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.