Active NPI
Joshua Vaughn Bunch, ATC, LAT
- Athletic Trainer
- Baton Rouge, LA
National Provider Identifier
1649822164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- ATH.310302
- Practice address
- Lsu Athletic Department
Athletic Training, North Stadium Drive
Baton Rouge, LA 70803 - Phone
- (225) 578-2050
- NPI assigned
- Jul 15, 2019
- 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 | ATH.310302 | LA | Primary |
Addresses
Primary practice location
Lsu Athletic Department
Athletic Training, North Stadium Drive
Baton Rouge, LA 70803
Mailing address
900 Stanford Ave
Baton Rouge, LA 70808-3685
Phone (865) 209-9246
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 |
|---|---|---|---|
| ATH.310302 | LA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563148800000",
"number": "1649822164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 STANFORD AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708083685",
"telephone_number": "865-209-9246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LSU ATHLETIC DEPARTMENT",
"address_2": "ATHLETIC TRAINING, NORTH STADIUM DRIVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70803",
"telephone_number": "225-578-2050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNCH",
"first_name": "JOSHUA",
"middle_name": "VAUGHN",
"name_prefix": "Mr.",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-15",
"last_updated": "2019-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "LA",
"license": "ATH.310302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.