Active NPI
Trenton Edward Gould, PHD, ATC
- Athletic Trainer
- Hattiesburg, MS
National Provider Identifier
1972683662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT0323
- Practice address
- 118 College Dr
Box 5040
Hattiesburg, MS 39406-0001 - Phone
- (601) 266-6339
- Fax
- (601) 266-4445
- NPI assigned
- Oct 17, 2006
- 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 | AT0323 | MS | Primary |
Addresses
Primary practice location
118 College Dr
Box 5040
Hattiesburg, MS 39406-0001
Mailing address
97 Crystal CRK
Hattiesburg, MS 39402-8497
Phone (601) 266-6339
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT0323 | MS | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415923200000",
"number": "1972683662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 CRYSTAL CRK",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394028497",
"telephone_number": "601-266-6339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 COLLEGE DR",
"address_2": "BOX 5040",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394060001",
"telephone_number": "601-266-6339",
"fax_number": "601-266-4445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOULD",
"first_name": "TRENTON",
"middle_name": "EDWARD",
"name_prefix": "Prof.",
"credential": "PHD, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2014-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MS",
"license": "AT0323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.