Max Elder, MS, AT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

2387 Scotch Pine St
West Bloomfield, MI 48323

Phone

(248) 535-5505

NPI assigned

Aug 31, 2015

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

Credentials

Master of Science

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1700253283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2387 SCOTCH PINE ST",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483233070",
            "telephone_number": "248-535-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2387 SCOTCH PINE ST",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "48323",
            "telephone_number": "248-535-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDER",
        "first_name": "MAX",
        "credential": "MS, AT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-31",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Eklund
• Eman El Dekin, PHARMACIST
• Issa El-Ajame
• Lisa B. Elconin, M.D.
• Elder Foot Care, PC
• Torimae Eldridge
• Elevated Speech and Language Therapy LLC
• Nicolette Kristin Elia, CRNA
• Clara Elinger, APRN, BC
• Elite Dental Care PLLC

• Athletic Trainer in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.