Active NPI
Brandon Israel
- Athletic Trainer
- Plainsboro, NJ
National Provider Identifier
1700199767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 147952
- Practice address
- 307 Fox Run Dr
Plainsboro, NJ 08536-2637 - Phone
- (908) 294-4624
- NPI assigned
- Jul 20, 2010
- Last updated
- Jul 20, 2010
- 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 | 147952 | NJ | Primary |
Addresses
Primary practice location
307 Fox Run Dr
Plainsboro, NJ 08536-2637
Mailing address
307 Fox Run Dr
Plainsboro, NJ 08536-2637
Phone (908) 294-4624
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
| License | State | Type | Specialty |
|---|---|---|---|
| 147952 | NJ | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279584000000",
"number": "1700199767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 FOX RUN DR",
"city": "PLAINSBORO",
"state": "NJ",
"postal_code": "085362637",
"telephone_number": "908-294-4624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 FOX RUN DR",
"city": "PLAINSBORO",
"state": "NJ",
"postal_code": "085362637",
"telephone_number": "908-294-4624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISRAEL",
"first_name": "BRANDON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-20",
"last_updated": "2010-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NJ",
"license": "147952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainsboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.