Brian William Jansen, ATC, LAT

Primary specialty

SpecialistTaxonomy code 174400000X

License

AL 571 Issued in FL

Practice address

640 Dr Mary McLeod Bethune Blvd
Daytona Beach, FL 32114-3012

Phone

(386) 481-2261

Fax

(386) 481-2265

NPI assigned

Feb 27, 2006

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bethune-Cookman University

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Daytona Beach, FL
  • NPI 1689076499
  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1922074293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 3RD ST",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174556",
            "telephone_number": "386-341-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 DR MARY MCLEOD BETHUNE BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321143012",
            "telephone_number": "386-481-2261",
            "fax_number": "386-481-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSEN",
        "first_name": "BRIAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "AL 571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemary Alvan James-Worship
• Amanda James
• Cashana Adrian James, MS
• Humayun Jamidar, M.D.
• Tejal Megan Jamidar, DMD
• Jennifer Jansen, MS
• Wilnica Janvier
• Leanna Jasper
• Syncere Jefferson
• Damian C Jeffery

• Specialist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.