David Brown, MS, ATC, CMMSS, CEAS

Individual provider Active NPI Athletic Trainer · Schererville, IN

NPI 1669971651 · NPPES record last updated Feb 6, 2018

Key facts

NPI
1669971651
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
096003760 (IL)
Practice address
248 Bunker Dr
Schererville, IN 46375-2036
Phone
(708) 475-5500
NPI assigned
Feb 6, 2018
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
096003760ILMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 096003760 IL Yes

Addresses

Primary practice location

248 Bunker Dr
Schererville, IN 46375-2036

Mailing address

248 Bunker Dr
Schererville, IN 46375-2036
Phone (708) 475-5500

Other providers in Schererville, IN

All providers in Schererville, IN · Athletic Trainer in Indiana

Sources for this page

Verify at the official NPI Registry.