Individual provider Active NPI

Bruce E. Fischbach, ATC

  • Athletic Trainer
  • Vermillion, SD
National Provider Identifier
1982664512
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
017 Issued in SD
Practice address
414 E Clark St
Vermillion, SD 57069-2307
Phone
(605) 677-5960
Fax
(605) 677-5467
NPI assigned
Mar 27, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 017 SD Primary

Addresses

Primary practice location

414 E Clark St
Vermillion, SD 57069-2307

Mailing address

414 E Clark St
Vermillion, SD 57069-2307
Phone (605) 677-5960

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

State licenses

LicenseStateTypeSpecialty
017SDMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1982664512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 E CLARK ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570692307",
            "telephone_number": "605-677-5960",
            "fax_number": "605-677-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 E CLARK ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570692307",
            "telephone_number": "605-677-5960",
            "fax_number": "605-677-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHBACH",
        "first_name": "BRUCE",
        "middle_name": "E.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SD",
            "license": "017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vermillion, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.