Brandon Scott Hetzler, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT264 Issued in OK

Practice address

1323 W 6TH Ave
Stillwater, OK 74074-4306

Phone

(405) 742-5996

NPI assigned

Nov 9, 2005

Sex

Male

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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1982685608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 W 6TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744306",
            "telephone_number": "405-742-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 W 6TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744306",
            "telephone_number": "405-742-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETZLER",
        "first_name": "BRANDON",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OK",
            "license": "AT264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Reed Herrill, M.S., ATC, LAT
• Kayla Nicole Herrington
• Diana Marcela Hess, PHARMD
• Simeon Hester
• Clinton Neal Hetrick, DDS
• Tona M Hetzler, ED.D, ATC
• Stephen Kyle Hicks, BS CMD BHRS
• Heather Higgins
• Martha Higgins
• Bobbie Jo Hill

• Athletic Trainer in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Athletic Trainer in Oklahoma

• 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.