Sharon Robin Bratrud, M.S., ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

429-11 Issued in ND

Practice address

811 10TH St NW
Valley City, ND 58072-2050

Phone

(701) 845-7678

NPI assigned

Nov 13, 2014

Last updated

Nov 13, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1841696218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 10TH ST NW",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "580722050",
            "telephone_number": "701-845-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 10TH ST NW",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "580722050",
            "telephone_number": "701-845-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRATRUD",
        "first_name": "SHARON",
        "middle_name": "ROBIN",
        "credential": "M.S., ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-13",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ND",
            "license": "429-11",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.

Verify at the official NPI Registry.