Brock Andrew Edmonds, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2400645 Issued in KS

Practice address

4015 SW Gage Center Dr
Topeka, KS 66604-1831

Phone

(785) 273-1379

NPI assigned

Jan 28, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233100800000",
    "number": "1972741015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 SW GAGE CENTER DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041831",
            "telephone_number": "785-273-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 SW GAGE CENTER DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041831",
            "telephone_number": "785-273-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONDS",
        "first_name": "BROCK",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KS",
            "license": "2400645",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT4052",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Jane Edelman, ARNP
• Sue Edgerton-Johnston
• Rick S Ediger, HEARING INST. SPECIA
• Tammie Lynn Edmiston
• Edmonds & Wood Orthodontics, P.a.
• Katherine A Edmonds, PA-C
• Myisha Janine Edmonds
• Scott Bradley Edmonds, D.D.S., M.S.
• Educational Opportunities Unlimited LLC
• Edwards & Wilson Periodontics of Topeka, LLC

• Athletic Trainer in Topeka, KS
• Providers in Topeka, KS by specialty
• Athletic Trainer in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; 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.