BRANDON SHRUM (NPI# 1710429196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710429196 |
| Entity Type | Individual |
| Full Name | BRANDON SHRUM |
| Credential | LAT, ATC |
| Practice Address |
23 Turnberry Ln Cabot AR 72023-7822 |
| Practice Telephone | 5019209081 |
| Mailing Telephone | 5019209081 |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
23 TURNBERRY LN |
| City | CABOT |
| State | AR |
| Zip Code | 72023-7822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003458407 | Arthur Latrell Mays Jr. | Transportation Broker | 18 High Plains Drive, Cabot, AR 72023 | 2019-10-17 |
| 1275182677 | Central Arkansas Screening and Medical Services | Clinical Nurse Specialist | 801 W. Locust St, Cabot, AR 72023 | 2019-09-09 |
| 1154975431 | Cabot Ep, Pllc | Emergency Medicine | 212 Willie Ray Dr., Cabot, AR 72023 | 2019-07-25 |
| 1972070993 | Little Rock Hospital 1, LLC | General Acute Care Hospital | 212 Willie Ray Dr, Cabot, AR 72023 | 2018-10-29 |
| 1437654670 | Eldercare of Arkansas V, Inc. | Assisted Living Facility | 601 E. Mountain Springs Road, Cabot, AR 72023 | 2018-03-29 |
| 1558889220 | Justin Kent | Physical Therapist | 2800 South 2nd Street Ste. B, Cabot, AR 72023 | 2017-09-01 |
| 1518310390 | Viki Vinson | Registered Nurse | 51 Financial Drive, Cabot, AR 72023 | 2016-07-18 |
| 1477934552 | Next Generation Physical Therapy | Physical Therapist | 100 Gateway Drive, Cabot, AR 72023 | 2015-06-15 |
| 1366829020 | Amber Barnes | Speech-Language Pathologist | 16150 Arkansas 5, Cabot, AR 72023 | 2015-05-01 |
| 1184020984 | Jodi Hood | Speech-Language Pathologist | 601 N Lincoln St, Cabot, AR 72023 | 2014-11-06 |
| Find all providers in zip 72023 | ||||
| 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 |
|---|---|---|---|---|
| 1881016947 | Jennifer Lynn Asbery | Specialist/Technologist | 401 N. Lincoln, Cabot, AR 72023-3119 | 2014-01-09 |
| 1023235439 | Derek S Shaffer | Specialist/Technologist | 1055 Highland Blvd, Cabot, AR 72023-6001 | 2007-04-19 |
| 1255497624 | Jason Maurice Cates | Specialist/Technologist | 401 N Lincoln St, Cabot, AR 72023-2625 | 2006-12-29 |
| 1891141024 | Hollie Whittaker | Specialist/Technologist | 401 N Lincoln St, Cabot, AR 72023-2625 | 2016-05-06 |
| 1457737512 | Ruth Rich | Specialist/Technologist | 401 N Lincoln St, Cabot, AR 72023-2625 | 2015-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356953533 | Sierra Paige Marsh | Specialist/Technologist | 909 S Booth Rd, Searcy, AR 72143-9354 | 2020-08-19 |
| 1912518119 | Kayla Johnson | Specialist/Technologist | 410 Ouachita St Rm 202, Arkadelphia, AR 71998-0001 | 2020-08-11 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1013538925 | Josh Dyre Lammers | Specialist/Technologist | 163h E Hwy 18, Blytheville, AR 72315-8937 | 2020-05-01 |
| 1083235998 | Lorenzo Soto | Specialist/Technologist | 444 Dogwood Cove, Marion, AR 72364 | 2020-05-01 |
| 1093336323 | Nick Lee Haywood | Specialist/Technologist | 1900 Mcnatt Dr Apt 16, Brookland, AR 72417-9024 | 2020-04-28 |
| 1780205195 | Tayler Estrada | Specialist/Technologist | 113 Nw Yukon Trail St, Bentonville, AR 72712-5013 | 2020-04-27 |
| 1619502531 | Angelina Marconi | Specialist/Technologist | 410 Charleston Cv, Marion, AR 72364-2673 | 2020-03-11 |
| 1508496191 | Savannah Deann Hart | Specialist/Technologist | 265 County Road 2168, Hartman, AR 72840-8809 | 2020-01-22 |
| 1144850967 | Victoria Lynn Rollins | Specialist/Technologist | 8 Christopher Dr, Sherwood, AR 72120-4010 | 2020-01-21 |
| Find all providers with the same taxonomy | ||||
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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.