BRANDON HENRY (NPI# 1700331105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700331105 |
| Entity Type | Individual |
| Full Name | BRANDON HENRY |
| Credential | MS, ATC |
| Practice Address |
11500 Fenway South Dr Fort Myers FL 33913-8671 |
| Practice Telephone | 8573660797 |
| Mailing Telephone | 8573660797 |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL 2279 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710452768 | Brandon Henry | Counselor | 200 E 3rd St, Jamestown, NY 14701-5433 | 2018-10-05 |
| 1477996122 | Brandon Allen Henry | Orthopaedic Surgery | 7117 Brockton Ave, Riverside, CA 92506-2658 | 2013-04-12 |
| 1710207022 | Brandon V Henry | Surgery | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2010-06-09 |
| Street Address |
11500 FENWAY SOUTH DR |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33913-8671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235686866 | Phillip Anthony Millan | Specialist/Technologist | 11500 Fenway South Dr, Fort Myers, FL 33913-8671 | 2016-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467079368 | Fq0014 | Clinic/Center | 11930 Fairway Lakes Dr, Ste 103, Fort Myers, FL 33913 | 2020-06-26 |
| 1386272334 | Chrysallis Wellness Center Inc | Counselor | 11932 Faiway Lakes, Fort Myers, FL 33913 | 2020-03-27 |
| 1811459399 | Kelly Christine Reynolds | Student in an Organized Health Care Education/Training Program | 11750 Rosemount Drive, Fort Myers, FL 33913 | 2019-04-03 |
| 1043784432 | Alex Richard Reynolds | Physician Assistant | 2700 Creekside Ln, Suit 101, Fort Myers, FL 33913 | 2019-01-18 |
| 1881196541 | Kara Seanor | Counselor | 12575 Stone Tower Loop, Fort Myers, FL 33913 | 2018-03-08 |
| 1063951515 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 13121 Paul J. Doherty Pkwy, Fort Myers, FL 33913 | 2017-02-16 |
| 1518337492 | Barry K Butler P.a. | Internal Medicine | 10708 Bradbury Way, Fort Myers, FL 33913 | 2015-10-05 |
| 1811322886 | Bernard Timothy Renner | Pharmacist | 10000 Gulf Coast Town Center Drive, Ft. Myers, FL 33913 | 2013-09-10 |
| 1831531979 | Debra Anne Channer | Pharmacist | 12550 Professional Park Drive Unit 1, Walgreens Co., Ft. Myers, FL 33913 | 2013-07-17 |
| 1144572249 | Victoria Sydeco Tayengco-maisog | Pediatrics | 9304 Trieste Drive, Fort Myers, FL 33913 | 2012-10-12 |
| Find all providers in zip 33913 | ||||
| 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 |
|---|---|---|---|---|
| 1467069914 | Alison M Dougan | Specialist/Technologist | 3345 Cypress Legends Cir Apt 1104, Fort Myers, FL 33905-5542 | 2020-09-29 |
| 1083234132 | Jaret Clarke | Specialist/Technologist | 9920 Estero Oaks Dr Apt 102, Fort Myers, FL 33967-5297 | 2020-04-19 |
| 1336768910 | Kayla Ann Berry | Specialist/Technologist | 8347 Caloosa Rd, Fort Myers, FL 33967-5214 | 2020-04-13 |
| 1609495456 | Kelly Colwell | Specialist/Technologist | 17390 Dumont Dr, Fort Myers, FL 33967-2725 | 2020-04-12 |
| 1558826032 | Robert Fouda | Specialist/Technologist | 14211 Georgian Cir Apt 101, Fort Myers, FL 33912-5698 | 2019-02-08 |
| 1275021768 | Kaitlin Elaine Nicholson | Specialist/Technologist | 5598 Sunrise Dr, Fort Myers, FL 33919-1716 | 2018-04-30 |
| 1053827071 | Sarah Michelle Geary | Specialist/Technologist | 2855 Colonial Blvd, Fort Myers, FL 33966-1012 | 2017-12-28 |
| 1659886018 | Paul Mattras | Specialist/Technologist | 7698 Cameron Cir, Fort Myers, FL 33912-5659 | 2017-12-07 |
| 1881106748 | Sawyer Swanson | Specialist/Technologist | 18525 Bradenton Rd, Fort Myers, FL 33967-3502 | 2017-11-01 |
| 1093227951 | Devon Benson | Specialist/Technologist | 1000 Fgcu Campus Housing Cy04, Fort Myers, FL 33965-0001 | 2017-11-01 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33913 |
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| 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.