MR. MICHAEL TODD VANBRUGGEN


Address: 2130 S Branner Ave, Cn Box 72030, Jefferson City, TN 37760-2224
Phone: 8654713368

MR. MICHAEL TODD VANBRUGGEN (NPI# 1063485852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063485852
Entity Type Individual
Full Name MR. MICHAEL TODD VANBRUGGEN
Credential ATC
Practice Address 2130 S Branner Ave
Cn Box 72030
Jefferson City
TN 37760-2224
Practice Telephone 8654713368
Practice Fax Number 8654713514
Mailing Telephone 8654713368
Mailing Fax Number 8654713514
Enumeration Date 2006-02-10
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
AT1345 TX Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
561 TN Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 2130 S BRANNER AVE
CN BOX 72030
City JEFFERSON CITY
State TN
Zip Code 37760-2224

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699235929 Emmley L Cole Nurse Practitioner 277 E W Broadway Blvd, Jefferson, TN 37760 2019-03-22
1275044877 Cindy Anderson Nurse Practitioner 277 E Broadway Blvd, Jefferson City, TN 37760 2017-10-23
1801259940 Mcfarland Group, Inc. Durable Medical Equipment & Medical Supplies 665 E Broadway Blvd, Jefferson City, TN 37760 2016-04-04
1124422266 Penny Williams-cordeiro Nurse Practitioner 1901 Brookside Drive, Suite 105, Kingsport, TN 37760 2014-10-17
1215363841 Lindsey Ann Clyde Physician Assistant 120 Hospital Dr Ste 130, Jefferson City, TN 37760 2013-09-14
1679849814 Allison Renee Farris Surgery 120 Hospital Dr Ste G20, Jefferson City, TN 37760 2012-03-31
1245562891 Steven Jarvis Monroe Dentist 156 W. Broadway Blvd., Jefferson City, TN 37760 2010-02-08
1952560625 Summit Medical Group,pllc Internal Medicine 380 W Broadway Blvd, Jefferson City, TN 37760 2008-06-06
1780756189 Steven J Monroe Dds PC Dentist 156 W Broadway Blvd, Jefferson City, TN 37760 2006-11-14
1720188600 Dennis U Spjut Psychologist 732 E Jefferson St, Dennis Spjut Phd, Jefferson City, TN 37760 2006-09-22
Find all providers in zip 37760

Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy 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-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669931267 Kaitlyn Elizabeth Burkemper Specialist/Technologist 3830 Oxford Rd, Jefferson City, MO 65109-5341 2019-03-14
1124558986 Nicholas Rehagen Specialist/Technologist 304 Timber Creek Rd, Jefferson City, MO 65109 2017-06-14
1003236506 Austin Matlock Specialist/Technologist 820 Chestnut St, 115 Jason Hall, Jefferson City, MO 65101-3537 2014-04-23
1134485634 Travis Arvin Stueve Specialist/Technologist 904 E Mountcastle St, Jefferson City, TN 37760-2607 2012-04-09
1043465446 Shawn C Dumers Specialist/Technologist 4704 Woods Xing, Jefferson City, MO 65109-6221 2008-11-26
1093910812 Kelley Lucille Weidinger Specialist/Technologist 3308 W Edgewood Dr Ste F, Jefferson City, MO 65109-6891 2007-06-20
1881728095 Kay Lea Foster Specialist/Technologist 3221 Glenstone Dr, Jefferson City, MO 65109-8801 2007-03-16
1477577500 Thomas M Brundage Specialist/Technologist 1002 Diamond Rdg Ste 800, Jefferson City, MO 65109-7906 2006-07-26
1760426910 Ronald Joseph Dunn Specialist/Technologist 1305 Swifts Hwy, Jefferson City, MO 65109-2557 2006-06-16
1326001207 Misty Depriest Hudgins Specialist/Technologist 2130 S Branner Avenue, Cn Box 72030 -, Jefferson City, TN 37760 2006-04-11
Find all providers in JEFFERSON CITY

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City JEFFERSON CITY
Zip Code 37760

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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