Thomas M Brundage in Jefferson City - Athletic Trainer
Thomas M Brundage - NPI 1477577500
Thomas M Brundage is a Athletic Trainer in Jefferson City, Missouri. Thomas M Brundage practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Thomas M Brundage is 1477577500. The last update date is 2015-03-18.
Thomas M Brundage's current location address is 1002 Diamond Rdg Ste 800, Jefferson City, Missouri. You can contact this provider via phone number 5737619360 and fax number 5737619362. The mailing address for Thomas M Brundage is 1002 Diamond Rdg Ste 800, Jefferson City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas M Brundage |
|---|---|
| Address | 1002 Diamond Rdg Ste 800, Jefferson City, Missouri |
| Phone Number | 5737619360 |
| Fax Number | 5737619362 |
| Sole Proprietor | N |
| Credentials | ATC |
NPI Number Detail
| NPI Number | 1477577500 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2015-03-18 |
Provider Mailing Address Detail
| Address | 1002 Diamond Rdg Ste 800 |
|---|---|
| City | Jefferson City |
| State | Missouri (MO) |
| Post Code | 651097906 |
| Phone Number | 5737619360 |
| Fax Number | 5737619362 |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | 106726 |
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Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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What is the unique identification code assigned to Thomas M Brundage by the Centers for Medicare & Medicaid Services?
The Thomas M Brundage has been issued the NPI (National Provider Identifier) 1477577500. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Thomas M Brundage is physically located?
The Thomas M Brundage is physically situated at the following address: 1002 Diamond Rdg Ste 800, Jefferson City, MO, 651097906.
What is Thomas M Brundage's specialized field of practice, and what is the corresponding taxonomy classification code?
The Thomas M Brundage's area of specialization is Athletic Trainer, and the corresponding taxonomy code that categorizes this field of practice is 2255A2300X.
When did the Thomas M Brundage receive its 1477577500?
The Thomas M Brundage was issued its 1477577500 on 2006-07-26, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Thomas M Brundage last refreshed?
The information related to the Thomas M Brundage, including its address, specialty, and other relevant details, was last updated on 2015-03-18.