Brandon Jentink, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1381 Jefferson Rd
Northfield, MN 55057

Phone

(507) 646-8800

NPI assigned

Sep 10, 2015

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

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1780052449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 JEFFERSON RD",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550573080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 JEFFERSON RD",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "55057",
            "telephone_number": "507-646-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94-294 Anania Dr",
            "address_purpose": "LOCATION",
            "city": "Mililani",
            "state": "HI",
            "postal_code": "967892525",
            "country_code": "US",
            "telephone_number": "920-912-3574",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1381 Jefferson Rd",
            "address_purpose": "LOCATION",
            "city": "Northfield",
            "state": "MN",
            "postal_code": "55057",
            "country_code": "US",
            "telephone_number": "507-646-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENTINK",
        "first_name": "BRANDON",
        "name_prefix": "Mr.",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-10",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara I Husby, COTA/L
• Eric Huska, PHARMD
• Denise Marie Intihar-Lum, F.N.P.
• Pamala Wood Jacobel, PH.D., L.P.
• Katie Jacobi
• Johnson Dental Arts P.a.
• Aaron Johnson, D.D.S.
• Amber Johnson, MA
• Becky S Johnson, D.D.S.
• Kristi Anne Johnson, D.D.S.

• Athletic Trainer in Northfield, MN
• Providers in Northfield, MN by specialty
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.