Mark William Bramble, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00025100 Issued in NJ

Practice address

12 Elisha Dr
Allentown, NJ 08501-2048

Phone

(609) 259-9358

Fax

(609) 259-9359

NPI assigned

Feb 15, 2007

Last updated

Jul 8, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679616866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ELISHA DR",
            "city": "ALLENTOWN",
            "state": "NJ",
            "postal_code": "085012048",
            "telephone_number": "609-259-9358",
            "fax_number": "609-259-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ELISHA DR",
            "city": "ALLENTOWN",
            "state": "NJ",
            "postal_code": "085012048",
            "telephone_number": "609-259-9358",
            "fax_number": "609-259-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAMBLE",
        "first_name": "MARK",
        "middle_name": "WILLIAM",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00025100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Olivia Ann Caruso, MA, RD, LDN

• Athletic Trainer in Allentown, NJ
• Providers in Allentown, NJ by specialty
• Athletic Trainer in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.