Individual provider Active NPI

Brian A Bratta, ATC, CSCS

  • Athletic Trainer
  • Buffalo, NY
National Provider Identifier
1679616619
Registry record updated Dec 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
003072-1 Issued in NY
Practice address
20 Alumni Arena
The State University of New York at Buffalo
Buffalo, NY 14260-5000
Phone
(716) 645-3438
Fax
(716) 645-3085
NPI assigned
Feb 15, 2007
Last updated
Dec 26, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 003072-1 NY Primary

Addresses

Primary practice location

20 Alumni Arena
The State University of New York at Buffalo
Buffalo, NY 14260-5000

Mailing address

20 Alumni Arena
University at Buffalo
Buffalo, NY 14260-5000
Phone (716) 645-3438

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

LicenseStateTypeSpecialty
003072-1NYMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451088000000",
    "number": "1679616619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ALUMNI ARENA",
            "address_2": "UNIVERSITY AT BUFFALO",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142605000",
            "telephone_number": "716-645-3438",
            "fax_number": "716-645-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ALUMNI ARENA",
            "address_2": "THE STATE UNIVERSITY OF NEW YORK AT BUFFALO",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142605000",
            "telephone_number": "716-645-3438",
            "fax_number": "716-645-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRATTA",
        "first_name": "BRIAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "ATC, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2015-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "003072-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2015; 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.