MR. JEREMY RYAN BRAZIEL (NPI# 1528344397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528344397 |
| Entity Type | Individual |
| Full Name | MR. JEREMY RYAN BRAZIEL |
| Credential | ATC |
| Practice Address |
201 W. Van Asche Loop Fayetteville AR 72703-4974 |
| Mailing Address |
4809 W Plymouth Rock Pl Fayetteville AR 72704-6907 |
| Practice Telephone | 4799664491 |
| Mailing Telephone | 4799664055 |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2016-06-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT396 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
201 W. VAN ASCHE LOOP |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-4974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316166648 | Wesley Kent Cox | Orthopaedic Surgery | 201 W. Van Asche Loop, Fayetteville, AR 72703-4999 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| 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 |
|---|---|---|---|---|
| 1124628979 | Casey Brooks | Specialist/Technologist | 1223 Huntsville Hwy, Fayetteville, TN 37334-3617 | 2020-10-30 |
| 1053971622 | Elizabeth Bacon Studdard | Specialist/Technologist | 1671 S Colonnade Dr Apt 203, Fayetteville, AR 72701-7819 | 2019-06-17 |
| 1457818486 | Kyle Cravey | Specialist/Technologist | 7 Sonoma Dr, Fayetteville, TN 37334-4837 | 2019-02-26 |
| 1023574654 | Katie Nichole Buria | Specialist/Technologist | 1247 W Mount Comfort Rd Apt 309, Fayetteville, AR 72703-1597 | 2019-02-19 |
| 1700341682 | Elli Dinkmeyer | Specialist/Technologist | 640 N Wordsworth Ln, Fayetteville, AR 72704-5127 | 2019-02-05 |
| 1225520828 | Jacoby Markie Clemons | Specialist/Technologist | 1201 West Leroy Pond Dr, Fayetteville, AR 72701 | 2018-05-31 |
| 1952892390 | Ambur Dryer | Specialist/Technologist | 994 W Mlk Jr. Blvd., Fayetteville, AR 72701 | 2018-05-22 |
| 1346745791 | Ruth Maria Pacheco | Specialist/Technologist | 2306 Bathgate Ct, Fayetteville, NC 28312-9614 | 2018-03-28 |
| 1306354469 | Nataya Nija Geddie | Specialist/Technologist | 720 Larkspur Dr, Fayetteville, NC 28311-6957 | 2018-01-11 |
| 1326588286 | Shelby Baez | Specialist/Technologist | 717 Brougham Rd, Fayetteville, NC 28311-0305 | 2017-02-26 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on MR. JEREMY RYAN BRAZIEL.
| 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.