Active NPI
Douglas Brenner Jones, ATC
- Athletic Trainer
- Scottsbluff, NE
National Provider Identifier
1982736484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 288
- Practice address
- 1601 E 27TH St
Scottsbluff, NE 69361-1815 - Phone
- (308) 635-6369
- Fax
- (308) 635-6781
- NPI assigned
- Mar 10, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 288 | NE | Primary |
Addresses
Primary practice location
1601 E 27TH St
Scottsbluff, NE 69361-1815
Mailing address
PO Box 2471
Scottsbluff, NE 69363-2471
Phone (308) 672-3105
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
| License | State | Type | Specialty |
|---|---|---|---|
| 288 | NE | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1982736484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2471",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "693632471",
"telephone_number": "308-672-3105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 E 27TH ST",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "693611815",
"telephone_number": "308-635-6369",
"fax_number": "308-635-6781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "DOUGLAS",
"middle_name": "BRENNER",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-10",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NE",
"license": "288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsbluff, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.