Active NPI
Brent Rogers Ryan, ATC/L
- Athletic Trainer
- Cookeville, TN
National Provider Identifier
1801858998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 500
- Practice address
- 2335 N Washington Ave
Cookeville, TN 38501-4889 - Phone
- (931) 520-2287
- NPI assigned
- Apr 4, 2006
- 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 | 500 | TN | Primary |
Addresses
Primary practice location
2335 N Washington Ave
Cookeville, TN 38501-4889
Mailing address
5125 Hickory Valley Rd
Sparta, TN 38583-3773
Phone (931) 738-8760
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 |
|---|---|---|---|
| 500 | TN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1801858998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5125 HICKORY VALLEY RD",
"city": "SPARTA",
"state": "TN",
"postal_code": "385833773",
"telephone_number": "931-738-8760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2335 N WASHINGTON AVE",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385014889",
"telephone_number": "931-520-2287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "BRENT",
"middle_name": "ROGERS",
"name_prefix": "Mr.",
"credential": "ATC/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TN",
"license": "500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cookeville, TN
- Larry E Rupe, CRNA
- Scott Henry Rupe
- Brittany Danielle Rush
- Christopher C Russell, PA-C
- Taylor Adell Russell, FNP-BC
- Melissa Joy Ryglewski, B.S.
- Sunanda Sadanandan, D.O.
- Subha Saeed, M.D
- Aji Haddy Sahor, FNP-C
- Saint Thomas River Park Hospital, LLC (Ascension Medical Group Saint Thomas Cookeville Primary Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.