Active NPI
Michael J Braid, ATC
- Athletic Trainer
- Spring Lake, MI
National Provider Identifier
1841268372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2601000200
- Practice address
- 18000 Cove Street
Suite 202
Spring Lake, MI 49456-1383 - Phone
- (616) 847-1280
- Fax
- (616) 847-1290
- NPI assigned
- Mar 10, 2006
- Last updated
- Jul 1, 2014
- 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 | 2601000200 | MI | Primary |
Addresses
Primary practice location
18000 Cove Street
Suite 202
Spring Lake, MI 49456-1383
Mailing address
18000 Cove Street
Suite 202
Spring Lake, MI 49456-1383
Phone (616) 847-1280
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 |
|---|---|---|---|
| 2601000200 | MI | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoreline Sport & Spine PLLC | Past | Accepting new patients | |
| Shoreline Sport & Spine PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404172800000",
"number": "1841268372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18000 COVE STREET",
"address_2": "SUITE 202",
"city": "SPRING LAKE",
"state": "MI",
"postal_code": "494561383",
"telephone_number": "616-847-1280",
"fax_number": "616-847-1290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18000 COVE STREET",
"address_2": "SUITE 202",
"city": "SPRING LAKE",
"state": "MI",
"postal_code": "494561383",
"telephone_number": "616-847-1280",
"fax_number": "616-847-1290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAID",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-10",
"last_updated": "2014-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MI",
"license": "2601000200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring Lake, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.