DANIELLE K BRODBERG (NPI# 1396252078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396252078 |
| Entity Type | Individual |
| Full Name | DANIELLE K BRODBERG |
| Credential | AT, ATC |
| Practice Address |
2516 Normandy Dr Se Apt 302c Grand Rapids MI 49506-7947 |
| Practice Telephone | 5179775432 |
| Mailing Telephone | 5179775432 |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2601001968 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2516 NORMANDY DR SE APT 302C |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49506-7947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
| 1750917969 | Meghan Elizabeth Southwell | Social Worker | Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 | 2020-03-19 |
| 1356876536 | Lisa Finkbeiner | Chiropractor | 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 | 2017-04-26 |
| 1447622964 | Ashley Robinson | Rehabilitation Practitioner | 1490 East Beltline Ave, Grand Rapids, MI 49506 | 2015-10-23 |
| 1770951584 | Stuart Segal | Behavioral Analyst | 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 | 2015-09-10 |
| 1922476373 | Elizabeth Taylor | Nurse Practitioner | 2255 Wealthy Dr., Grand Rapids, MI 49506 | 2015-09-02 |
| 1780066092 | Carole Walters Counseling | Social Worker | 959 Wealthy St. Se, Grand Rapids, MI 49506 | 2015-06-23 |
| 1053792697 | Rosemary F. Trimpe | Social Worker | 4255 Kalamazoo Se, Grand Rapids, MI 49506 | 2015-06-09 |
| 1164809919 | Gary James | Rehabilitation Practitioner | 1490 E. Beltline Se, Grand Rapids, MI 49506 | 2015-04-30 |
| 1275925315 | Paul Cole | Counselor | 1101 Ball Ave. .se., Grand Rapids, MI 49506 | 2015-02-26 |
| Find all providers in zip 49506 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720601818 | Sean Mandle | Specialist/Technologist | 213 Calkins Ave Se, Grand Rapids, MI 49506-1519 | 2020-05-22 |
| 1356806897 | Corey Joseph Strawser | Specialist/Technologist | 1531 Hillsboro Ave Se, Grand Rapids, MI 49546-9783 | 2019-02-08 |
| 1346704590 | Rachel Mae Smestad | Specialist/Technologist | 3360 Briggs Blvd Ne, Grand Rapids, MI 49525-2504 | 2019-01-22 |
| 1275023335 | Tyler Shear | Specialist/Technologist | 610 Maryland Ave Ne, Grand Rapids, MI 49505-6052 | 2018-05-15 |
| 1134626765 | Nathan Lutz | Specialist/Technologist | 2770 Knapp St Ne, Grand Rapids, MI 49525-4422 | 2018-04-10 |
| 1396265294 | Brian Joseph William Killinger | Specialist/Technologist | 3860 Jupiter Ave, 160 Robinhood Dr Ne, Grand Rapids, MI 49525-4951 | 2017-06-21 |
| 1619404951 | Marcus Ribant | Specialist/Technologist | 18 Sunset Hills Ave Nw, Grand Rapids, MI 49534-5842 | 2017-05-17 |
| 1306397864 | John Bernal | Specialist/Technologist | 130 Fulton St W, #111, Grand Rapids, MI 49503-2682 | 2016-10-20 |
| 1588119127 | Jillian Kolster | Specialist/Technologist | 4820 Luxemburg St Se, Grand Rapids, MI 49546-3742 | 2016-08-24 |
| 1245682368 | Daniel Chappell | Specialist/Technologist | 863 Orchard Ave Se, Grand Rapids, MI 49506-3444 | 2016-07-13 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49506 |
Please comment or provide details below to improve the information on DANIELLE K BRODBERG.
| 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.