Active NPI
Crosby Bugenhagen, MS, ATC, LAT
- Athletic Trainer
- Oak Creek, WI
National Provider Identifier
1760444970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1126
- Practice address
- 8020 S Howell Ave
Oak Creek, WI 53154-2930 - Phone
- (414) 647-3920
- Fax
- (414) 465-4730
- NPI assigned
- Apr 4, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 1126 | WI | Primary |
Addresses
Primary practice location
8020 S Howell Ave
Oak Creek, WI 53154-2930
Mailing address
8020 S Howell Ave
Oak Creek, WI 53154-2930
Phone (414) 647-3920
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1126 | WI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520985600000",
"number": "1760444970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8020 S HOWELL AVE",
"city": "OAK CREEK",
"state": "WI",
"postal_code": "531542930",
"telephone_number": "414-647-3920",
"fax_number": "414-465-4730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8020 S HOWELL AVE",
"city": "OAK CREEK",
"state": "WI",
"postal_code": "531542930",
"telephone_number": "414-647-3920",
"fax_number": "414-465-4730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUGENHAGEN",
"first_name": "CROSBY",
"name_prefix": "Miss",
"credential": "MS, ATC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-04",
"last_updated": "2018-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WI",
"license": "1126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Creek, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.