Brookelyn Marie Miller, AT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601002709 Issued in MI

Practice address

315 E Warwick Dr Ste 8
Alma, MI 48801-1083

Phone

(989) 463-2333

NPI assigned

May 17, 2022

Sex

Female

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

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1972240364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 N COUNTY LINE RD",
            "city": "BLANCHARD",
            "state": "MI",
            "postal_code": "493109303",
            "telephone_number": "616-881-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E WARWICK DR STE 8",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011083",
            "telephone_number": "989-463-2333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1324 N County Line Rd",
            "address_purpose": "LOCATION",
            "city": "Blanchard",
            "state": "MI",
            "postal_code": "493109303",
            "country_code": "US",
            "telephone_number": "989-427-5175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BROOKELYN",
        "middle_name": "MARIE",
        "credential": "AT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601002709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midmichigan Visiting Nurse Association
• Stacey Mikowski
• Amanda Leigh Miller
• April Valecia Miller
• Bobbie Jo Miller, RN
• Shaelyn Miller, FNP-C
• Molly A Minnick, LMSW
• Miriam B. Adam Services LLC
• Jessica Bea Mitchell
• Brent Jeffrey Moeggenborg, DDS

• Athletic Trainer in Alma, MI
• Providers in Alma, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.