MR. BRANT MICHAEL BOEKELMAN (NPI# 1871852335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871852335 |
| Entity Type | Individual |
| Full Name | MR. BRANT MICHAEL BOEKELMAN |
| Credential | ATC |
| Practice Address |
717 S State St Fairmont MN 56031-4469 |
| Practice Telephone | 5072384949 |
| Practice Fax Number | 5072383385 |
| Mailing Telephone | 5072384949 |
| Mailing Fax Number | 5072383385 |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2012-05-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2314 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
717 S STATE ST |
| City | FAIRMONT |
| State | MN |
| Zip Code | 56031-4469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073516266 | Joseph Michael Klick | Nurse Anesthetist, Certified Registered | 717 S State St, Ste 100, Fairmont, MN 56031-4470 | 2005-05-23 |
| 1114374469 | Fairmont Orthopedics & Sports Medicine, P.a. | Clinic/Center | 717 S State St, Ste 1000, Fairmont, MN 56031-4469 | 2016-05-17 |
| 1326405010 | Superior Care Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 717 S State St, Suite 100, Fairmont, MN 56031-4469 | 2016-01-26 |
| 1194106823 | Christopher L. Olsen, Dds Pllc | Clinic/Center | 717 S State St, Suite #2, Fairmont, MN 56031-4469 | 2015-06-18 |
| 1760888028 | Mark Edward Reiter | Dentist | 717 S State St, Suite 500, Fairmont, MN 56031-4469 | 2014-11-14 |
| 1588900864 | Primary Specialists | Family Medicine | 717 S State St, Suite 800, Fairmont, MN 56031-4469 | 2012-12-14 |
| 1225317688 | Elizabeth Ann Schultz | Physical Therapy Assistant | 717 S State St, Suite 900, Fairmont, MN 56031-4469 | 2011-08-16 |
| 1033497250 | Joseph Robert Angstman | Physical Therapy Assistant | 717 S State St, Suite 900, Fairmont, MN 56031-4469 | 2011-07-22 |
| 1437486479 | Fairmont Orthopedics & Sports Medicine P A | Durable Medical Equipment & Medical Supplies | 717 S State St, Ste 900, Fairmont, MN 56031-4469 | 2009-11-12 |
| 1861632770 | Joseph Klick | Nurse Anesthetist, Certified Registered | 717 S State St, Fairmont, MN 56031-4469 | 2009-03-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407097025 | David Robert Rynders | Counselor | 301 Downtown Plaza, #3, Fairmont, MN 56031 | 2009-03-11 |
| 1992902449 | Wal-mart Stores, Inc. | Technician/Technologist | 1250 Goemann Road, Fairmont, MN 56031 | 2007-06-28 |
| 1417099813 | Thomas Joe Larson | Dentist | 800 Clinic Circle, Fairmont, MN 56031 | 2007-02-13 |
| 1912076795 | Rem Heartland Inc | Intermediate Care Facility, Mentally Retarded | 111 Dorothy Street, Fairmont, MN 56031 | 2006-11-07 |
| 1750466322 | Rem Heartland Inc | Intermediate Care Facility, Mentally Retarded | 107 Dorothy Street, Fairmont, MN 56031 | 2006-10-25 |
| 1588744155 | Kerri Lynn Henderson | Chiropractor | 115 1/2 West Blue Earth Ave, Fairmont, MN 56031 | 2006-10-17 |
| 1427142199 | Maurice Lee Shoen | Counselor | 115 West First St, Fairmont, MN 56031 | 2006-10-03 |
| 1538253703 | Nathan Craig Jorgenson | Dentist | 717 South State Street, Suite 600, Fairmont, MN 56031 | 2006-10-03 |
| 1942311154 | Leon James Rochovitz | Optometrist | 288 S State Street, Five Lakes Centre, Fairmont, MN 56031 | 2006-08-31 |
| 1215903414 | Mayo Clinic Hospital-rochester | Clinic/Center | 835 Johnson Street, Fairmont, MN 56031 | 2006-02-27 |
| Find all providers in zip 56031 | ||||
| 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] |
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| 1972150977 | Aubrey Greathouse | Specialist/Technologist | 1993 Airport Rd Apt B, Fairmont, WV 26554-9138 | 2019-08-23 |
| 1629323795 | Angela Renee Brolin | Specialist/Technologist | 119 Boxwood Ln, Fairmont, WV 26554-2126 | 2012-07-16 |
| 1679603906 | Robert Joseph Cable | Specialist/Technologist | 1201 Locust Ave., Fairmont, WV 26554 | 2007-03-06 |
| 1356961759 | Daniel Joseph Page | Specialist/Technologist | 1201 Locust Ave, Fairmont, WV 26554-2451 | 2020-04-26 |
| 1558761205 | Valentina Bustamante | Specialist/Technologist | 1993 Airport Rd, Fairmont, WV 26554-9138 | 2014-08-31 |
| 1013316850 | Zachary Dahl | Specialist/Technologist | 717 S State St Ste 900, Fairmont, MN 56031-4478 | 2014-08-18 |
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| 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 |
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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.