Brady Calvin Mellinger, PT, DPT, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

A0001627 Issued in MD

Practice address

566 Brownson Rd
Annapolis, MD 21402-5006

Phone

(410) 293-8726

NPI assigned

Mar 27, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1982165502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 BROWNSON RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214025006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 BROWNSON RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214025006",
            "telephone_number": "410-293-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLINGER",
        "first_name": "BRADY",
        "middle_name": "CALVIN",
        "credential": "PT, DPT, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-27",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28990",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT007587",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MD",
            "license": "A0001627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Meier
• Barry Ross Meisenberg, M.D.
• Edward Taylor Meiser Jr., D.D.S.
• Hannah Grace Melchner
• Meghan C. Melinchak, ATC, LAT, AIB-VR/CON
• Nicole Eden Melograna, PA-C
• Stephen Joseph Melvin
• Gulzeb Memon
• Katherine Mendez-Mahone
• Neil Mendhiratta, MD

• Athletic Trainer in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Athletic Trainer in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.