Brendan Ahern, AT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601002311 Issued in MI

Practice address

799 N Hewitt Rd
Ypsilanti, MI 48197-1701

Phone

(734) 487-5183

NPI assigned

Nov 19, 2016

Sex

Male

Sole proprietor

Yes

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": "1479513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1992248116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 BRENNER RD",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442036414",
            "telephone_number": "330-328-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 N HEWITT RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971701",
            "telephone_number": "734-487-5183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 W Bancroft St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436063328",
            "country_code": "US",
            "telephone_number": "800-586-5336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHERN",
        "first_name": "BRENDAN",
        "credential": "AT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-19",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601002311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanyi Charles Agbor-Baiyee, MSW
• Jacob Agemy, MD
• Deepak Aggarwal, M.D.
• Jennifer Serrano Aguirre, FNP
• Ah Ypsilanti Subtenant, LLC
• Aisha Ahmad, RN
• Somia Ahmad, D.D.S.
• Fawzia Ahmed, DDS
• Nafis Mostak Ahmed, DO
• Sana Roohi Ahmed, M.D.

• Athletic Trainer in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.