Active NPI
Robert Bradley Mountcastle, ATC
- Athletic Trainer
- Hampstead, MD
National Provider Identifier
1790778181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 4288 Wolf Hill Dr
Hampstead, MD 21074-2009 - Phone
- (410) 493-8156
- NPI assigned
- Aug 31, 2005
- 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 | Primary |
Addresses
Primary practice location
4288 Wolf Hill Dr
Hampstead, MD 21074-2009
Mailing address
4288 Wolf Hill Dr
Hampstead, MD 21074-2009
Phone (410) 493-8156
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397779200000",
"number": "1790778181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4288 WOLF HILL DR",
"city": "HAMPSTEAD",
"state": "MD",
"postal_code": "210742009",
"telephone_number": "410-493-8156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4288 WOLF HILL DR",
"city": "HAMPSTEAD",
"state": "MD",
"postal_code": "210742009",
"telephone_number": "410-493-8156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUNTCASTLE",
"first_name": "ROBERT",
"middle_name": "BRADLEY",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2014-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hampstead, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.