Active NPI
Brandon Madden, LAT, ATC, NREMT
- Athletic Trainer
- Greenfield, IN
National Provider Identifier
1780189167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 36002867A
- Practice address
- 801 N State St
Greenfield, IN 46140-1270 - Phone
- (219) 575-2951
- NPI assigned
- Mar 27, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 5912-6847 | IN | |
| Athletic Trainer | 2255A2300X | 36002867A | IN | Primary |
Addresses
Primary practice location
801 N State St
Greenfield, IN 46140-1270
Mailing address
9235 Bakers Corner Dr
Camby, IN 46113-8249
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5912-6847 | IN | MD | Basic Emergency Medical Technician |
| 36002867A | IN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701734400000",
"number": "1780189167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9235 BAKERS CORNER DR",
"city": "CAMBY",
"state": "IN",
"postal_code": "461138249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 N STATE ST",
"city": "GREENFIELD",
"state": "IN",
"postal_code": "461401270",
"telephone_number": "219-575-2951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDEN",
"first_name": "BRANDON",
"credential": "LAT, ATC, NREMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-27",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "IN",
"license": "5912-6847",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36002867A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenfield, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.