Active NPI
Tracy Coleman III, MS, ATC
- Sports Medicine (Preventive Medicine) Physician
- Frisco, TX
National Provider Identifier
1891169686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Preventive Medicine) Physician
- License
- AT5837
- Practice address
- 6000 Eldorado Pkwy
Apt# 222
Frisco, TX 75033-3573 - Phone
- (410) 533-3399
- NPI assigned
- Nov 17, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Sports Medicine (Preventive Medicine) Physician | 2083S0010X | AT5837 | TX | Primary |
Addresses
Primary practice location
6000 Eldorado Pkwy
Apt# 222
Frisco, TX 75033-3573
Mailing address
6000 Eldorado Pkwy
Apt# 222
Frisco, TX 75033-3573
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT5837 | TX | MD | Sports Medicine (Preventive Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447718400000",
"number": "1891169686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 ELDORADO PKWY",
"address_2": "APT# 222",
"city": "FRISCO",
"state": "TX",
"postal_code": "750333573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 ELDORADO PKWY",
"address_2": "APT# 222",
"city": "FRISCO",
"state": "TX",
"postal_code": "750333573",
"telephone_number": "410-533-3399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "TRACY",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "MS, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-17",
"last_updated": "2015-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "2083S0010X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Sports Medicine",
"state": "TX",
"license": "AT5837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.