Benjmin Michael Fox, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2011040138 Issued in MO

Practice address

1 University PLZ # Ms 7000
Cape Girardeau, MO 63701-4710

Phone

(573) 999-6217

NPI assigned

Nov 20, 2007

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1730360678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1966 DELWIN ST APT 4",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012470",
            "telephone_number": "573-999-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY PLZ # MS 7000",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637014710",
            "telephone_number": "573-999-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "BENJMIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-20",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2011040138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Marie Fouts
• Christy M. Fowler, O.D.
• Trisha Fowler, APRN FNP
• Fox Family Dental LLC
• Fox Family Dental, L.L.C.
• James L Fox, D.D.S.
• Robert G. Fox, D.D.S.
• Kali D Francis, MD
• Kimberly Ann Frank, LMSW
• Matthew Frank, M.D.

• Athletic Trainer in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.