Brenneman Beasley
Individual provider Active NPI Athletic Trainer · Dayton, VA
NPI 1750193538 · NPPES record last updated Jan 21, 2025
Key facts
- NPI
- 1750193538
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 270 High St
Dayton, VA 22821-9505 - Phone
- (540) 405-3485
- NPI assigned
- Jan 21, 2025
- Sex
- Female
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
270 High St
Dayton, VA 22821-9505
Mailing address
270 High St
Dayton, VA 22821-9505
Phone (540) 405-3485
Other providers in Dayton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2025. 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.