Active NPI
Brian Joseph Huck, ATC
- Athletic Trainer
- Westerville, OH
National Provider Identifier
1710101845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT-001799
- Practice address
- 584 County Line Rd W
Westerville, OH 43082-7295 - Phone
- (614) 355-6006
- Fax
- (614) 355-6072
- NPI assigned
- Apr 12, 2007
- 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 | AT-001799 | OH | Primary |
Addresses
Primary practice location
584 County Line Rd W
Westerville, OH 43082-7295
Mailing address
700 Childrens Dr
Columbus, OH 43205-2664
Other practice location 1
5680 Venture Dr
Dublin, OH 43017-2190
Phone (614) 722-2000
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 |
|---|---|---|---|
| AT-001799 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1710101845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CHILDRENS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "584 COUNTY LINE RD W",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430827295",
"telephone_number": "614-355-6006",
"fax_number": "614-355-6072"
}
],
"practiceLocations": [
{
"address_1": "5680 Venture Dr",
"address_purpose": "LOCATION",
"city": "Dublin",
"state": "OH",
"postal_code": "430172190",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUCK",
"first_name": "BRIAN",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT-001799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.