Samuel Buscher, ATC
Individual provider Active NPI Athletic Trainer · Bridgewater, VA
NPI 1679010490 · NPPES record last updated Jul 23, 2020
Key facts
- NPI
- 1679010490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AT001402 (WV)
- Practice address
- 402 E College St
Bridgewater, VA 22812-1511 - Phone
- (815) 931-3311
- NPI assigned
- Jan 31, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT001402 | WV | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT001402 | WV | Yes |
Addresses
Primary practice location
402 E College St
Bridgewater, VA 22812-1511
Mailing address
109 Laurel St
Harrisonburg, VA 22801-2762
Phone (815) 931-3311
Other providers in Bridgewater, VA
- Bridgewater Healthcare Pharmacy
- Bridgewater Home, Inc.
- Daniel Ryan Brown
- Paul Russell Brown II
- Heather Brunk
- Aiden R Camara
- Sydni Carey
- Stephanie Lynn Carroll
- Janine Ceasar
- Maria Josephina Circosta
All providers in Bridgewater, VA · Athletic Trainer in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.