Active NPI
Alfred Bernard Shuford, M.ED,LAT,ATC
- Athletic Trainer
- Charlotte, NC
National Provider Identifier
1679547509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0024
- Practice address
- 5201 Mintridge Rd
Charlotte, NC 28227-9242 - Phone
- (704) 573-1940
- NPI assigned
- Feb 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 0024 | NC | Primary |
Addresses
Primary practice location
5201 Mintridge Rd
Charlotte, NC 28227-9242
Mailing address
5201 Mintridge Rd
Aiosm
Charlotte, NC 28227-9242
Phone (704) 573-1940
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024 | NC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All-in-One Sports Medicine Inc. | Athletic Trainer | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Athletic Trainer
- Mint Hill, NC
- NPI 1033183967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221609600000",
"number": "1679547509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 MINTRIDGE RD",
"address_2": "AIOSM",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282279242",
"telephone_number": "704-573-1940",
"fax_number": "704-573-1940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 MINTRIDGE RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282279242",
"telephone_number": "704-573-1940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUFORD",
"first_name": "ALFRED",
"middle_name": "BERNARD",
"credential": "M.ED,LAT,ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2008-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "0024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.