Active NPI
Brandon Wayne Garcia, MAT. LAT, ATC
- Athletic Trainer
- El Paso, TX
National Provider Identifier
1790486090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT9636
- Practice address
- 5400 Sanders Ave
El Paso, TX 79924-6698 - Phone
- (915) 667-8497
- NPI assigned
- Mar 14, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT9636 | TX | Primary |
Addresses
Primary practice location
5400 Sanders Ave
El Paso, TX 79924-6698
Mailing address
5400 Sanders Ave
El Paso, TX 79924-6698
Phone (915) 667-8497
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 |
|---|---|---|---|
| AT9636 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1790486090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 SANDERS AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799246698",
"telephone_number": "915-667-8497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 SANDERS AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799246698",
"telephone_number": "915-667-8497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "BRANDON",
"middle_name": "WAYNE",
"credential": "MAT. LAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-14",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT9636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.