BRAEDEN CHASE CARROLL


Address: 636 Madison Ave, Morgantown, WV 26501
Phone: 3042386141

BRAEDEN CHASE CARROLL (NPI# 1194280446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194280446
Entity Type Individual
Full Name BRAEDEN CHASE CARROLL
Practice Address 636 Madison Ave
Morgantown
WV 26501
Mailing Address 636 Madison Ave
Morgantown
WV 26501-6720
Practice Telephone 3042386141
Mailing Telephone 3042386141
Enumeration Date 2019-01-31
Last Update Date 2019-01-31
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
636 Madison Ave, Morgantown, WV 26501 3042386141

Office Location

Street Address 636 MADISON AVE
City MORGANTOWN
State WV
Zip Code 26501

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114528718 Billie Jane Shrout Technician #4 Ami Dr, Morgantown, WV 26501 2020-11-02
1932668852 Donald Brubaker Student in an Organized Health Care Education/Training Program Wvu Medicine, University Town Centre, 6040 University Town Centre Drive, Morgantown, WV 26501 2019-03-19
1629541545 Key Learning Autism Center Inc Community/Behavioral Health Mountaineer Mall, 5000 Greenbag Road Space A-1, Morgantown, WV 26501 2019-01-03
1922575463 Heather Lynne Oneal Midwife 864 Vandalia Rd, Morgantown, WV 26501 2018-11-01
1609252634 Nathan Robert Tomasik Physical Therapist 746 Fairmont Road, Westover, WV 26501 2015-07-31
1174922462 Shelly Cummings Nurse Practitioner 5000 Greenbag Rd Ste E08, Morgantown, WV 26501 2014-08-22
1841609419 Christine A Sutch Family Medicine 6040 University Town Center, Morgantown, WV 26501 2014-08-08
1073808432 Megan B Darrah Occupational Therapist 6 Edwin Street, Morgantown, WV 26501 2011-06-14
1831325729 Carol M. Kisner Mcgraw Occupational Therapist 26 Commerce Drive, Westover, WV 26501 2009-06-05
1235398827 Sheryl Ann Saunders Speech-Language Pathologist 391 National Church Hollow, Morgantown, WV 26501 2008-06-09
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093352296 Jayde Shaianne Vanriper Specialist/Technologist 102 Birch Ln, Morgantown, WV 26505-2509 2019-12-06
1801433008 Kailee Selders Specialist/Technologist 1111 Valley View Ave Trlr 12, Morgantown, WV 26505-3682 2019-12-06
1073087565 Caroline Noelle Thornburg Specialist/Technologist 124 Creekside Dr, Morgantown, WV 26508-9095 2019-01-17
1245704287 Gabriella Merse Specialist/Technologist 407 Tupelo Dr, Morgantown, WV 26508-9157 2019-01-13
1790271443 Brandon Joseph Herr Specialist/Technologist 114 Twin County Rd, Morgantown, PA 19543-9462 2018-07-05
1194229435 Adam James Morrison Specialist/Technologist 5000 Station St Apt 531, Morgantown, WV 26508-7442 2018-03-21
1427556653 Sakura Konno Specialist/Technologist 478 Harding Ave Apt 24, Morgantown, WV 26505-3449 2018-01-23
1821506122 William Logan Rumbaugh Specialist/Technologist 3450 Monongahela Blvd., Morgantown, WV 26507-0877 2018-01-21
1477091973 Erin White Specialist/Technologist 205 Bent Tree Ct, Morgantown, WV 26505-4688 2017-02-03
1982141651 Titi Korbariyachit Specialist/Technologist 380 Baldwin St, Apt 9, Morgantown, WV 26505-3251 2017-01-19
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Competitor

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City MORGANTOWN
Zip Code 26501

Improve Information

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Dataset Information

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.

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