MR. BRIAN KEITH PICKERING (NPI# 1821194697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821194697 |
| Entity Type | Individual |
| Full Name | MR. BRIAN KEITH PICKERING |
| Credential | ATC |
| Practice Address |
615 S Mill St Fergus Falls MN 56537-2756 |
| Mailing Address |
2511 18th St S Moorhead MN 56560-4810 |
| Practice Telephone | 2187396889 |
| Practice Fax Number | 2187395501 |
| Mailing Telephone | 2187704900 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2015-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1624 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023677127 | Brian Pickering | Family Medicine | 232 W 25th St, Erie, PA 16544-0001 | 2019-06-12 |
| 1538306451 | Brian W Pickering | Anesthesiology | 200 1st St Sw, Rochester, MN 55905-0001 | 2009-01-14 |
| Street Address |
615 S MILL ST |
| City | FERGUS FALLS |
| State | MN |
| Zip Code | 56537-2756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619972734 | 20-20 Optical Inc | Technician/Technologist | 615 S Mill St, Ste 2, Fergus Falls, MN 56537-2756 | 2005-06-15 |
| 1801221676 | Dan Kwapinski | Pharmacist | 615 S Mill St, Fergus Falls, MN 56537-2756 | 2013-09-11 |
| 1831401058 | Naomi Destaffany Schmid | Podiatrist | 615 S Mill St, Fergus Falls, MN 56537-2756 | 2010-07-02 |
| 1437487105 | Lorri Holt | Technician/Technologist | 615 S Mill St, Suite 2, Fergus Falls, MN 56537-2756 | 2009-11-18 |
| 1922336601 | Amy Donoho | Technician/Technologist | 615 S Mill St, Suite 2, Fergus Falls, MN 56537-2756 | 2009-11-18 |
| 1720316409 | David G Gaustad | Technician/Technologist | 615 S Mill St, Suite 2, Fergus Falls, MN 56537-2756 | 2009-11-18 |
| 1083942775 | Barbara L Johnson | Technician/Technologist | 615 S Mill St, Suite 2, Fergus Falls, MN 56537-2756 | 2009-11-18 |
| 1033447719 | Sheila Rodning | Technician/Technologist | 615 S Mill St, Suite 2, Fergus Falls, MN 56537-2756 | 2009-11-18 |
| 1962730648 | Kathryn Polejewski | Technician/Technologist | 615 S Mill St, Suite 2, Fergus Falls, MN 56537-2756 | 2009-11-18 |
| 1982932646 | Randa Jean Wik | Technician/Technologist | 615 S Mill St, Suite 2, Fergus Falls, MN 56537-2756 | 2009-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334217 | Mary Jane Andersen | Pharmacist | 3300 Hwy 210 W, Fergus Falls, MN 56537 | 2020-10-21 |
| 1609475615 | Blaine Perry Ecker | Pharmacist | 3300 Highway 210 W., 3300 Highway 210 West, Fergus Falls, MN 56537 | 2020-10-21 |
| 1336771591 | Paul George Wawin | Psychiatry & Neurology | 712 Cascade St. S. Lake Region Healthcare, Fergus Falls, MN 56537 | 2020-02-06 |
| 1134604127 | Christopher Michael Kjolhaug | Physical Therapist | 1131 South Mabelle Ave, Fergus Falls, MN 56537 | 2018-09-26 |
| 1619406808 | Aaron John Teigen | Physical Therapist | 1304 Lincoln Ave W, Suite C, Fergus Falls, MN 56537 | 2017-06-09 |
| 1003272154 | Anthony Gettel Dc LLC | Chiropractor | 755 Wildwood Trail, Fergus Falls, MN 56537 | 2016-01-05 |
| 1447628912 | Kelsey Shea | Student in an Organized Health Care Education/Training Program | 20743 Red Oak Dr., Fergus Falls, MN 56537 | 2015-09-14 |
| 1881070217 | Vineet Ganapati | Dentist | 2001 W Lincoln Ave # 33, Fergus Falls, MN 56537 | 2015-08-07 |
| 1497004832 | Beverly Renae Reiff | Registered Nurse | 22279 River Oaks Drive, Fergus Falls, MN 56537 | 2012-08-30 |
| 1114221421 | Jane Mary Bjornson | Social Worker | 21081 County Hwy 1, Fergus Falls, MN 56537 | 2010-12-29 |
| Find all providers in zip 56537 | ||||
| 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 |
|---|---|---|---|---|
| 1790049518 | Elizabeth Ostrowski | Specialist/Technologist | 615 Mill St S, Fergus Falls, MN 56537-2378 | 2012-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092165 | Jamie Lynn Erickson | Specialist/Technologist | 43628 374th Ln, Aitkin, MN 56431-4027 | 2020-10-27 |
| 1760082044 | Craig Daniel Merten | Specialist/Technologist | 5045 Division Ave # 5575, White Bear Lake, MN 55110-2663 | 2020-10-27 |
| 1154928927 | Heidi Frey | Specialist/Technologist | 4554 Lake Park Ct, Eagan, MN 55122-2515 | 2020-10-05 |
| 1851906887 | Teddy Ray Gildersleeve | Specialist/Technologist | 37320 Oriole Ave, Lindstrom, MN 55045-9109 | 2020-09-15 |
| 1851906697 | Tadd William Berg | Specialist/Technologist | 2415 W 9th St, Duluth, MN 55806-1150 | 2020-09-09 |
| 1952916793 | Megan Marie Hautajarvi | Specialist/Technologist | 2536 Peace Dr, Duluth, MN 55811-2971 | 2020-09-09 |
| 1871108795 | Bryce Mershon Beamish | Specialist/Technologist | 3501 Lowell St, Wayzata, MN 55391-3411 | 2020-09-09 |
| 1043825961 | Kevin Eskuri | Specialist/Technologist | 8090 172nd St W, Lakeville, MN 55044-6206 | 2020-09-09 |
| 1952916876 | Elizabeth Marie Altendorf | Specialist/Technologist | 1621 397th Ave Ne, Stanchfield, MN 55080-3303 | 2020-09-09 |
| 1699380519 | Kourtney Jean Palmi | Specialist/Technologist | 4922 Howard Gnesen Rd, Duluth, MN 55803-2710 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
| City | FERGUS FALLS |
| Zip Code | 56537 |
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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.