Brenton Matthew Fields, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

100 Physicians Way Ste 110
Lebanon, TN 37090-8107

Phone

(615) 547-6700

NPI assigned

Jan 15, 2019

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1871067694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PHYSICIANS WAY STE 110",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370908107",
            "telephone_number": "615-547-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PHYSICIANS WAY STE 110",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370908107",
            "telephone_number": "615-547-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "BRENTON",
        "middle_name": "MATTHEW",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-15",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fast Pace Medical Clinic PLLC
• Kimberly Rae Felts, FNP
• Bayan Ferdowsi, DDS
• Cara Kathlene Ferebee, PHARM.D.
• Travis Ferreira
• Norma Jean Fisher Consiglio, D.C.
• Helen D Fisher-Thorne, APRN, AANP-C
• William Fisher, CRNA
• John W Fisk Jr., MD
• Angela Marie Fitzpatrick, FNP-BC

• Athletic Trainer in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Athletic Trainer in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.