BRWYAN CAMPBELL (NPI# 1518377290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518377290 |
| Entity Type | Individual |
| Full Name | BRWYAN CAMPBELL |
| Credential | M.A., ATC |
| Practice Address |
2130 Branner Ave Jefferson City TN 37760-2210 |
| Practice Telephone | 8654713419 |
| Mailing Telephone | 8654713419 |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2014-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0000001451 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2130 BRANNER AVE |
| City | JEFFERSON CITY |
| State | TN |
| Zip Code | 37760-2210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982927356 | Patricia Ann Kraft | Clinic/Center | 2130 Branner Ave, Jefferson City, TN 37760-2210 | 2010-03-12 |
| 1063056125 | Rebecca George Cate | Specialist/Technologist | 2130 Branner Ave, Jefferson City, TN 37760-2210 | 2019-11-01 |
| 1013551415 | Daniel John Harrison | Specialist/Technologist | 2130 Branner Ave, Jefferson City, TN 37760-2210 | 2019-10-30 |
| 1356884456 | Carly Budiac | Specialist/Technologist | 2130 Branner Ave, Jefferson City, TN 37760-2210 | 2016-11-22 |
| 1114470275 | Lacie Kendall Geisel | Specialist/Technologist | 2130 Branner Ave, Jefferson City, TN 37760-2210 | 2016-07-25 |
| 1043608482 | Coree Georgenson | Specialist/Technologist | 2130 Branner Ave, Jefferson City, TN 37760-2210 | 2015-01-08 |
| 1548671712 | Nicholas Frank Bianco | Specialist/Technologist | 2130 Branner Ave, Jefferson City, TN 37760 | 2014-05-09 |
| 1104240571 | Meghan Fowler | Specialist/Technologist | 2130 Branner Ave, Jefferson City, TN 37760-2210 | 2014-02-06 |
| 1780006981 | Matthew Cahoon | Specialist/Technologist | 2130 Branner Ave, Jefferson City, TN 37760-2210 | 2014-01-08 |
| 1578984712 | Lupana Morales | Physical Medicine & Rehabilitation | 2130 Branner Ave, Jefferson City, TN 37760-2210 | 2013-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699235929 | Emmley L Cole | Nurse Practitioner | 277 E W Broadway Blvd, Jefferson, TN 37760 | 2019-03-22 |
| 1275044877 | Cindy Anderson | Nurse Practitioner | 277 E Broadway Blvd, Jefferson City, TN 37760 | 2017-10-23 |
| 1801259940 | Mcfarland Group, Inc. | Durable Medical Equipment & Medical Supplies | 665 E Broadway Blvd, Jefferson City, TN 37760 | 2016-04-04 |
| 1124422266 | Penny Williams-cordeiro | Nurse Practitioner | 1901 Brookside Drive, Suite 105, Kingsport, TN 37760 | 2014-10-17 |
| 1215363841 | Lindsey Ann Clyde | Physician Assistant | 120 Hospital Dr Ste 130, Jefferson City, TN 37760 | 2013-09-14 |
| 1679849814 | Allison Renee Farris | Surgery | 120 Hospital Dr Ste G20, Jefferson City, TN 37760 | 2012-03-31 |
| 1245562891 | Steven Jarvis Monroe | Dentist | 156 W. Broadway Blvd., Jefferson City, TN 37760 | 2010-02-08 |
| 1952560625 | Summit Medical Group,pllc | Internal Medicine | 380 W Broadway Blvd, Jefferson City, TN 37760 | 2008-06-06 |
| 1780756189 | Steven J Monroe Dds PC | Dentist | 156 W Broadway Blvd, Jefferson City, TN 37760 | 2006-11-14 |
| 1720188600 | Dennis U Spjut | Psychologist | 732 E Jefferson St, Dennis Spjut Phd, Jefferson City, TN 37760 | 2006-09-22 |
| Find all providers in zip 37760 | ||||
| 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 |
|---|---|---|---|---|
| 1669931267 | Kaitlyn Elizabeth Burkemper | Specialist/Technologist | 3830 Oxford Rd, Jefferson City, MO 65109-5341 | 2019-03-14 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1003236506 | Austin Matlock | Specialist/Technologist | 820 Chestnut St, 115 Jason Hall, Jefferson City, MO 65101-3537 | 2014-04-23 |
| 1134485634 | Travis Arvin Stueve | Specialist/Technologist | 904 E Mountcastle St, Jefferson City, TN 37760-2607 | 2012-04-09 |
| 1043465446 | Shawn C Dumers | Specialist/Technologist | 4704 Woods Xing, Jefferson City, MO 65109-6221 | 2008-11-26 |
| 1093910812 | Kelley Lucille Weidinger | Specialist/Technologist | 3308 W Edgewood Dr Ste F, Jefferson City, MO 65109-6891 | 2007-06-20 |
| 1881728095 | Kay Lea Foster | Specialist/Technologist | 3221 Glenstone Dr, Jefferson City, MO 65109-8801 | 2007-03-16 |
| 1477577500 | Thomas M Brundage | Specialist/Technologist | 1002 Diamond Rdg Ste 800, Jefferson City, MO 65109-7906 | 2006-07-26 |
| 1760426910 | Ronald Joseph Dunn | Specialist/Technologist | 1305 Swifts Hwy, Jefferson City, MO 65109-2557 | 2006-06-16 |
| 1326001207 | Misty Depriest Hudgins | Specialist/Technologist | 2130 S Branner Avenue, Cn Box 72030 -, Jefferson City, TN 37760 | 2006-04-11 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 37760 |
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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.