Brandon Israel
Individual provider Active NPI Athletic Trainer · Plainsboro, NJ
NPI 1700199767 · NPPES record last updated Jul 20, 2010
Key facts
- NPI
- 1700199767
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 147952 (NJ)
- Practice address
- 307 Fox Run Dr
Plainsboro, NJ 08536-2637 - Phone
- (908) 294-4624
- NPI assigned
- Jul 20, 2010
- 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 |
|---|---|---|---|
| 147952 | NJ | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 147952 | NJ | Yes |
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
Other providers in Plainsboro, NJ
- Innovative Life of New Jersey
- Innovative Life of New Jersey
- Innovative Psychiatry LLC
- Christine Ann Isaac
- Joel Isais
- Isao Iwata
- Chinwe Mercy Izegbu
- J M Podiatry Associates PC
- Jean H. Kang, DDS,LLC
- Jersey Physical Therapy of Princeton-Plainsboro
All providers in Plainsboro, NJ · Athletic Trainer in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2010. 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.