Active NPI
Gary Michael Simpson II, ATC
- Athletic Trainer
- Bel Air, MD
National Provider Identifier
1790193183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- A00259
- Practice address
- 658 Boulton St
Suite a
Bel Air, MD 21014-4214 - Phone
- (410) 638-9400
- Fax
- (410) 638-9001
- NPI assigned
- Jul 29, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | A00259 | MD | Primary |
Addresses
Primary practice location
658 Boulton St
Suite a
Bel Air, MD 21014-4214
Mailing address
9010 Katie CT
Port Tobacco, MD 20677-2030
Phone (240) 682-9837
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 |
|---|---|---|---|
| A00259 | MD | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406592000000",
"number": "1790193183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9010 KATIE CT",
"city": "PORT TOBACCO",
"state": "MD",
"postal_code": "206772030",
"telephone_number": "240-682-9837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "658 BOULTON ST",
"address_2": "SUITE A",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210144214",
"telephone_number": "410-638-9400",
"fax_number": "410-638-9001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "GARY",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-29",
"last_updated": "2014-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MD",
"license": "A00259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.