Bradley Allen Marsic, MS, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL5928 Issued in FL

Practice address

777 Glades Rd
Boca Raton, FL 33431-6496

Phone

(440) 221-1567

NPI assigned

Oct 22, 2016

Last updated

Apr 6, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1477094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743897600000",
    "number": "1679024863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "682 NW 44TH TER APT 202",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334429210",
            "telephone_number": "440-221-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 GLADES RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316496",
            "telephone_number": "440-221-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSIC",
        "first_name": "BRADLEY",
        "middle_name": "ALLEN",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-22",
        "last_updated": "2025-04-06",
        "certification_date": "2025-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL5928",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "93753",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Q Marsella, M.D.
• Colvin Marcus Marshall, CMMP, LMT
• Dennis Yasuda Marshall, RRT
• Jennifer Nicole Marshall, PA-C
• Tatyana Marshall, LCSW
• Tina Marie Marsicano, LCSW
• Estrellita Marte, PA-C
• Martin G. Bloom, MD, PA
• Martin Shank DPM PA & Richard Nettbay DPM (BOCA Deerfield Podiatry Associates)
• Martin Shank DPM PA & Richard Nettboy DPM (BOCA Deerfield Podiatry Associates)

• Athletic Trainer in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2025; 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.