Active NPI
Bryan Grimley, ATC, VATL
- Athletic Trainer
- Warrenton, VA
National Provider Identifier
1922513043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 705 Waterloo Rd
Warrenton, VA 20186-3038 - Phone
- (540) 422-7300
- Fax
- (540) 422-7325
- NPI assigned
- Dec 12, 2017
- 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 | Primary |
Addresses
Primary practice location
705 Waterloo Rd
Warrenton, VA 20186-3038
Mailing address
800 Col Edmonds CT
Warrenton, VA 20186-2179
Phone (540) 270-2710
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": "1513036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513036800000",
"number": "1922513043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 COL EDMONDS CT",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201862179",
"telephone_number": "540-270-2710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 WATERLOO RD",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201863038",
"telephone_number": "540-422-7300",
"fax_number": "540-422-7325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMLEY",
"first_name": "BRYAN",
"credential": "ATC, VATL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-12",
"last_updated": "2017-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warrenton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.