Brandon Charles Bathrick, RN-BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

603096 Issued in NY

Practice address

139 Central Ave
Wellsboro, PA 16901-1869

Phone

(607) 425-1786

NPI assigned

Aug 11, 2015

Last updated

Aug 11, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

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": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1780060988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CENTRAL AVE",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011869",
            "telephone_number": "607-425-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CENTRAL AVE",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011869",
            "telephone_number": "607-425-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATHRICK",
        "first_name": "BRANDON",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "RN-BSN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "PA",
            "license": "153131",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "603096",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN597760",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE DEPARTMENT OF HEALTH",
            "identifier": "603096",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA DEPARTMENT OF HEALTH",
            "identifier": "RN597760",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard B Baity II, M.ED., CADP
• Kaylee Baker
• Laura Balmer, CRNP
• Joann Marie Banik, RD, LDN
• Eric J Barlett, MS, PT
• Robbyn Bathrick
• Victor Paul Becker, M.D.
• Edward L Bellinger, M.D.
• Laura Catherine Bellows, DC
• Tyler O Benelli, LCSW

• Registered Nurse in Wellsboro, PA
• Providers in Wellsboro, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.