Active NPI
Brian Powelson, ATC
- Athletic Trainer
- Pittsburg, CA
National Provider Identifier
1891542122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 2700 E Leland Rd
Pittsburg, CA 94565-5107 - Phone
- (925) 473-7615
- NPI assigned
- May 3, 2024
- Last updated
- May 3, 2024
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | CA | Primary |
Addresses
Primary practice location
2700 E Leland Rd
Pittsburg, CA 94565-5107
Mailing address
2700 E Leland Rd
Pittsburg, CA 94565-5107
Phone (925) 473-7615
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714694400000",
"number": "1891542122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 E LELAND RD",
"city": "PITTSBURG",
"state": "CA",
"postal_code": "945655107",
"telephone_number": "925-473-7615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 E LELAND RD",
"city": "PITTSBURG",
"state": "CA",
"postal_code": "945655107",
"telephone_number": "925-473-7615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELSON",
"first_name": "BRIAN",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-05-03",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburg, CA
- Pittsburg Usd
- Pittsburg-Antioch Medical Group a Professional Corporation (Springhill Medical Group)
- Yvonne Pope-Thompson
- Thelma Porras-Guaderrama, R.D.H.
- Portia Bell Hume Behavioral Health and Training Center (The Hume Center Community Support Program)
- Samantha Poyser, DR
- Radhika Prasad
- Hayley R Preston
- Alejandro R Prieto, MD
- Babe Donato Prieto, M.P.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.