MR. GLENN R. BRICKEY (NPI# 1982812590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982812590 |
| Entity Type | Individual |
| Full Name | MR. GLENN R. BRICKEY |
| Credential | ATC, LAT |
| Practice Address |
Stetson University 421 N. Woodland Blvd., Unit 8317 Deland FL 32723-0001 |
| Mailing Address |
1124 Wild Oak Ter Deland FL 32720-9562 |
| Practice Telephone | 3868227168 |
| Practice Fax Number | 3868228143 |
| Mailing Telephone | 3868222965 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL618 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
STETSON UNIVERSITY 421 N. WOODLAND BLVD., UNIT 8317 |
| City | DELAND |
| State | FL |
| Zip Code | 32723-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720255847 | Edrian J Hairston | Specialist/Technologist | Stetson University 421 N Woodland Blvd, Unit 8317, Deland, FL 32723-0001 | 2008-05-08 |
| 1255534210 | Stephanie Marie Pruitt | Specialist/Technologist | 421 Woodland Blvd, Unit 8317, Deland, FL 32723-0001 | 2007-06-07 |
| 1518176262 | Jamie M Mcclure | Specialist/Technologist | 421 N Woodland Blvd Unit 8317, Deland, FL 32723-0001 | 2007-05-21 |
| 1407984198 | David Schenck Rauschenberger | Family Medicine | 421 N Woodland Blvd, Unit 8415, Deland, FL 32723-0001 | 2007-03-02 |
| 1396010328 | Daniel L. Riegle | Specialist/Technologist | 421 N Woodland Blvd, Unit 8317, Deland, FL 32723-0001 | 2012-03-08 |
| 1982806519 | Judson Fann | Specialist/Technologist | 421 N Woodland Blvd, Unit 8317, Deland, FL 32723-0001 | 2007-06-05 |
| 1417401191 | John Travnick | Specialist/Technologist | 421 N Woodland Blvd, Deland, FL 32723-8300 | 2016-08-10 |
| 1386005650 | Seth Tisdale | Specialist/Technologist | 421 N Woodland Blvd, Unit 8284, Deland, FL 32723-8300 | 2016-03-15 |
| 1912368192 | Taylor Anne Sullivan | Specialist/Technologist | 421 N Woodland Blvd, Unit 8284, Deland, FL 32723-8300 | 2016-03-15 |
| 1821459009 | Kristen Mcternan | Specialist/Technologist | 421 N Woodland Blvd, 8317, Deland, FL 32723-8300 | 2016-03-15 |
| Find all providers in zip 32723 | ||||
| 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 |
|---|---|---|---|---|
| 1093288136 | Lisa G Rozental | Specialist/Technologist | 120 Los Arbor Dr, Deland, FL 32724-1263 | 2019-01-10 |
| 1255877221 | Emily Eunice | Specialist/Technologist | 2589 W Lake Dr., Deland, FL 32724 | 2017-01-13 |
| 1689018590 | Andrew J Kovachy | Specialist/Technologist | 421 N Woodland Blvd Unit 8284, Deland, FL 32723-8417 | 2013-04-22 |
| 1720255847 | Edrian J Hairston | Specialist/Technologist | Stetson University 421 N Woodland Blvd, Unit 8317, Deland, FL 32723-0001 | 2008-05-08 |
| 1255534210 | Stephanie Marie Pruitt | Specialist/Technologist | 421 Woodland Blvd, Unit 8317, Deland, FL 32723-0001 | 2007-06-07 |
| 1518176262 | Jamie M Mcclure | Specialist/Technologist | 421 N Woodland Blvd Unit 8317, Deland, FL 32723-0001 | 2007-05-21 |
| 1568429017 | Jeffrey William Bishop | Specialist/Technologist | Deland High School, 800 N. Hill Ave, Deland, FL 32724 | 2006-04-27 |
| 1144283326 | John Earl Mcfarland | Specialist/Technologist | 1764 S Woodland Blvd, Deland, FL 32720-7915 | 2006-04-10 |
| 1417401191 | John Travnick | Specialist/Technologist | 421 N Woodland Blvd, Deland, FL 32723-8300 | 2016-08-10 |
| 1780036301 | Miriam Hosmon | Specialist/Technologist | 421 N Woodland Blvd Unit 8317, Deland, FL 32723-8417 | 2016-07-07 |
| Find all providers in DELAND | ||||
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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.