Brandon John Mitchell, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

131 Duffy Daugherty Football Building
Michigan State Athletic Training
East Lansing, MI 48824

Phone

(517) 353-1655

Fax

(517) 432-2137

NPI assigned

Mar 16, 2009

Last updated

Mar 16, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237161600000",
    "number": "1619118056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 DUFFY DAUGHERTY FOOTBALL BUILDING",
            "address_2": "MICHIGAN STATE ATHLETIC TRAINING",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "48824",
            "telephone_number": "517-353-1655",
            "fax_number": "517-432-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 DUFFY DAUGHERTY FOOTBALL BUILDING",
            "address_2": "MICHIGAN STATE ATHLETIC TRAINING",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "48824",
            "telephone_number": "517-353-1655",
            "fax_number": "517-432-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "BRANDON",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell a Rinek MD PC
• Tammye Lynne Mitchell-Coles, L.P.C.
• Abigail Mitchell, FNP-C
• Barbara Mitchell
• Bradford Kent Mitchell, M.D.
• Deshauna Mitchell, LPN
• Laura Mitchell, LMT
• Rose Marie Mitchell, MSW
• Philip Mitin, RPH
• Subhashis Mitra, M.D.

• Athletic Trainer in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.