ERIC WILLIAM BROSTROM (NPI# 1922626670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922626670 |
| Entity Type | Individual |
| Full Name | ERIC WILLIAM BROSTROM |
| Credential | MS, LAT, ATC |
| Practice Address |
3305 Lilly Rd Brookfield WI 53005-7608 |
| Mailing Address |
N73w6913 Walnut St Cedarburg WI 53012-1165 |
| Practice Telephone | 2627813500 |
| Mailing Telephone | 7154598343 |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1909-39 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3305 LILLY RD |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53005-7608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
| 1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
| 1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
| 1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
| 1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
| Find all providers in zip 53005 | ||||
| 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 |
|---|---|---|---|---|
| 1952917858 | Adam Archer | Specialist/Technologist | 20 Long Meadow Hill Rd, Brookfield, CT 06804-3013 | 2020-09-17 |
| 1477197887 | Maria Mueller | Specialist/Technologist | 18085 Midland Pl, Brookfield, WI 53045-4261 | 2019-10-30 |
| 1346805942 | Rhianna Wienss | Specialist/Technologist | 1245 Jaclyn Dr, Brookfield, WI 53045-4451 | 2019-05-08 |
| 1649775859 | Carrie Elizabeth Pine | Specialist/Technologist | 1493 West St, Brookfield, VT 05036-9584 | 2018-03-28 |
| 1447775705 | Greg Strege | Specialist/Technologist | 4565 Wessex Dr, Brookfield, WI 53045-1146 | 2017-08-08 |
| 1619415445 | William Wright | Specialist/Technologist | 1102 Steeple Dr, Brookfield, MO 64628-2708 | 2017-01-31 |
| 1669846663 | Stephanie Trybul | Specialist/Technologist | 4205 Eberly Ave, Brookfield, IL 60513-1848 | 2015-11-15 |
| 1992183057 | Matthew Johnson | Specialist/Technologist | 18220 San Lucas Ct, Brookfield, WI 53045-3870 | 2015-05-11 |
| 1154710986 | Mark Alberg | Specialist/Technologist | 2985 San Juan Trl, Brookfield, WI 53005-3709 | 2015-01-16 |
| 1972900835 | Megan Mclaughlin | Specialist/Technologist | 3127 Sunnyside Ave, Brookfield, IL 60513-1327 | 2014-11-20 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 53005 |
Please comment or provide details below to improve the information on ERIC WILLIAM BROSTROM.
| 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.