Brian Collier
Individual provider Active NPI Athletic Trainer · Dyke, VA
NPI 1689101388 · NPPES record last updated May 12, 2017
Key facts
- NPI
- 1689101388
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 0126000337 (VA)
- Practice address
- 8407 Dyke Rd
Dyke, VA 22935-1409 - Phone
- (434) 990-9053
- NPI assigned
- May 12, 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 |
|---|---|---|---|
| 0126000337 | VA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0126000337 | VA | Yes |
Addresses
Primary practice location
8407 Dyke Rd
Dyke, VA 22935-1409
Mailing address
8407 Dyke Rd
Dyke, VA 22935-1409
Phone (434) 990-9053
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2017. 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.