Active NPI
Alex Brummett, AT, ATC
- Athletic Trainer
- Centerville, OH
National Provider Identifier
1902213630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2000011012
- Practice address
- 7677 Yankee St
Centerville, OH 45459-3475 - Phone
- (937) 401-6400
- NPI assigned
- Jul 15, 2014
- 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 | 2000011012 | OH | Primary |
Addresses
Primary practice location
7677 Yankee St
Centerville, OH 45459-3475
Mailing address
321 Cushing Ave
Kettering, OH 45429-2607
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 |
|---|---|---|---|
| 2000011012 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405382400000",
"number": "1902213630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 CUSHING AVE",
"city": "KETTERING",
"state": "OH",
"postal_code": "454292607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7677 YANKEE ST",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454593475",
"telephone_number": "937-401-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUMMETT",
"first_name": "ALEX",
"credential": "AT, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-15",
"last_updated": "2014-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "2000011012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.