Active NPI
Brianna Furgerson
- Athletic Trainer
- Bay City, MI
National Provider Identifier
1861183444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2601000918
- Practice address
- 1325 N Grant St
Bay City, MI 48708 - Phone
- (810) 529-0420
- NPI assigned
- May 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 2601000918 | MI | Primary |
Addresses
Primary practice location
1325 N Grant St
Bay City, MI 48708
Mailing address
104 Jamestown Dr
Metamora, MI 48455-8518
Other practice location 1
1100 E Stewart Ave
Flint, MI 48505
Phone (810) 529-0420
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 |
|---|---|---|---|
| 2601000918 | MI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1861183444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 JAMESTOWN DR",
"city": "METAMORA",
"state": "MI",
"postal_code": "484558518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 N GRANT ST",
"city": "BAY CITY",
"state": "MI",
"postal_code": "48708",
"telephone_number": "810-529-0420"
}
],
"practiceLocations": [
{
"address_1": "1100 E Stewart Ave",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "48505",
"country_code": "US",
"telephone_number": "810-529-0420",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FURGERSON",
"first_name": "BRIANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-16",
"last_updated": "2023-05-16",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MI",
"license": "2601000918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bay City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.