Eric Raymond Bales, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT003298 Issued in GA

Practice address

175 N Tornado Division Rd BLDG 2866
Fort Knox, KY 40121-4218

Phone

(502) 624-1208

NPI assigned

Mar 22, 2022

Last updated

Mar 22, 2022By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1871242362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 FEDERAL PL",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042046",
            "telephone_number": "765-490-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N TORNADO DIVISION RD BLDG 2866",
            "city": "FORT KNOX",
            "state": "KY",
            "postal_code": "401214218",
            "telephone_number": "502-624-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALES",
        "first_name": "ERIC",
        "middle_name": "RAYMOND",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT003298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Ashman
• Curtis Douglas Auterson, DPT
• Annette Baker, PA-C
• Margaret Elizabeth Baker, LCSW
• Teresa Ruth Baker, PA-C
• Geoffrey S. Ball, D.M.D.
• Kathryn Maria Barger, LCSW, CADC
• Daniel Joseph Bartz, PA-C
• Jerry George Baumgartner, DDS
• Angela Beanblossom, LCSW

• Athletic Trainer in Fort Knox, KY
• Providers in Fort Knox, KY by specialty
• Athletic Trainer in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.