Active NPI
3D Sports Medicine and Orthopaedic Center
- Medical Specialty Clinic/Center
- Indian Harbour Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- AL4490
- Legal business name
- 3D SPORTS MEDICINE AND ORTHOPAEDIC CENTER
- Practice address
- 2194 Highway A1A Ste 104
Indian Harbour Beach, FL 32937-4955 - Phone
- (321) 610-8939
- NPI assigned
- Feb 20, 2017
- Last updated
- Feb 20, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brandon Hudnall, LAT, ATC
- Title
- Athletic Trainer/Physician Extender
- Phone
- (540) 250-3085
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | AL4490 | FL | Primary |
Addresses
Primary practice location
2194 Highway A1A Ste 104
Indian Harbour Beach, FL 32937-4955
Mailing address
2231 Hampton Green Blvd Apt 105
Melbourne, FL 32935
Phone (540) 250-3085
National Provider Directory
National Provider Directory- Tax ID family
- 3D Sports Medicine and Orthopaedic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Blacksburg, VA
- NPI 1053340281
Interoperability endpoints
- https://api.platform.athenahealth.com/12262/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Athletic Trainer
- Melbourne, FL
- NPI 1174058572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487548800000",
"number": "1972042257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2231 HAMPTON GREEN BLVD APT 105",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "32935",
"telephone_number": "540-250-3085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2194 HIGHWAY A1A STE 104",
"city": "INDIAN HARBOUR BEACH",
"state": "FL",
"postal_code": "329374955",
"telephone_number": "321-610-8939"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "3D SPORTS MEDICINE AND ORTHOPAEDIC CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-20",
"last_updated": "2017-02-20",
"status": "A",
"authorized_official_last_name": "HUDNALL",
"authorized_official_first_name": "BRANDON",
"authorized_official_title_or_position": "ATHLETIC TRAINER/PHYSICIAN EXTENDER",
"authorized_official_telephone_number": "540-250-3085",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LAT, ATC"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "FL",
"license": "AL4490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indian Harbour Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.