JACOB BRANDON (NPI# 1588109110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588109110 |
| Entity Type | Individual |
| Full Name | JACOB BRANDON |
| Credential | L.A.T. |
| Practice Address |
4450 Sunset Dr San Angelo TX 76901-5611 |
| Practice Telephone | 3254812257 |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT4889 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972063485 | Jacob A. Brandon | Student in an Organized Health Care Education/Training Program | 8414 Naab Rd Ste 100, Indianapolis, IN 46260-1972 | 2019-03-21 |
| Street Address |
4450 SUNSET DR |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76901-5611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629054077 | Joseph Owen | Physical Therapist | 4450 Sunset Dr, San Angelo, TX 76901-5611 | 2005-12-19 |
| 1982213781 | Makayla J Bradford | Audiologist | 4450 Sunset Dr, San Angelo, TX 76901-5611 | 2020-07-28 |
| 1528688033 | Chloe E Haygood | Audiologist | 4450 Sunset Dr, San Angelo, TX 76901-5611 | 2020-04-24 |
| 1821640939 | Austin D Landin | Physical Therapist | 4450 Sunset Dr, San Angelo, TX 76901-5611 | 2019-07-10 |
| 1225519614 | Emily Patricia Lane | Physical Therapist | 4450 Sunset Dr, San Angelo, TX 76901-5611 | 2018-08-24 |
| 1942789524 | Aimee Sue Wright | Registered Nurse | 4450 Sunset Dr, San Angelo, TX 76901-5611 | 2018-08-14 |
| 1922538271 | Shelby Paige Farmer | Physical Therapist | 4450 Sunset Dr, San Angelo, TX 76901-5611 | 2017-06-19 |
| 1396280921 | Vance Gohlke | Specialist/Technologist | 4450 Sunset Dr, San Angelo, TX 76901-5611 | 2017-01-06 |
| 1407391006 | Kevin Saverance | Specialist/Technologist | 4450 Sunset Dr, San Angelo, TX 76901-5611 | 2017-01-05 |
| 1689119273 | Brandi Kirkham | Specialist/Technologist | 4450 Sunset Dr, San Angelo, TX 76901-5611 | 2017-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174043962 | H-e-b, Lp | Clinical Medical Laboratory | 5502 Sherwood Way, San Angelo, TX 76901 | 2017-06-22 |
| 1275053225 | Sherri Nell Burk | Speech-Language Pathologist | 105 Westland, San Angelo, TX 76901 | 2017-06-21 |
| 1174061295 | Yujun Rong | Pharmacist | 7101 Appaloosa Trail Apt 116, San Angelo, TX 76901 | 2017-02-09 |
| 1982078176 | Trust In God Ministries | Case Manager/Care Coordinator | 2727 Freeland Avenue, San Angelo, TX 76901 | 2015-11-25 |
| 1962886234 | Jacquelyn Nila Bowen | Speech-Language Pathologist | 105 Westland Ave., San Angelo, TX 76901 | 2015-07-16 |
| 1487961769 | John Paul Kinyon | Pharmacist | 3368 Sherwood Way, San Angelo, TX 76901 | 2010-09-08 |
| 1417192188 | Dea Health & Educational Services, Inc. | Home Health | 10764 Dennis Dr., San Angelo, TX 76901 | 2008-12-10 |
| 1699813618 | Jose Antonio Contreras Sr. | Counselor | 2307 West Harris, San Angelo, TX 76901 | 2007-02-02 |
| 1821134859 | Carol J Jeffers | Counselor | 2013 West Beauregard Ave, San Angelo, TX 76901 | 2007-01-29 |
| 1346324498 | Sheila King Stewart | Counselor | 1 North Milton, Suite 10, San Angelo, TX 76901 | 2006-10-25 |
| Find all providers in zip 76901 | ||||
| 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 |
|---|---|---|---|---|
| 1407342702 | Mark Wandal Duncan | Specialist/Technologist | 2237 South Jackson, San Angelo, TX 76904 | 2018-07-10 |
| 1184097222 | Kristi Mae White | Specialist/Technologist | 2412 W Twohig Ave, San Angelo, TX 76901-3729 | 2015-11-11 |
| 1629333026 | Scott Emerson Itz | Specialist/Technologist | 3017 Tanglewood Dr, San Angelo, TX 76904-6139 | 2012-07-11 |
| 1033479076 | Sherry Ann Miller | Specialist/Technologist | 2601 W Avenue N, San Angelo, TX 76909-2601 | 2012-05-24 |
| 1588940134 | Kelcey Cottle Vanderburg | Specialist/Technologist | 900 E 43rd St, San Angelo, TX 76903-1845 | 2011-10-27 |
| 1174622187 | John Jeff Pulley | Specialist/Technologist | 115 W 1st St, San Angelo, TX 76903-5770 | 2006-09-22 |
| 1295798551 | Steven Robert Snowden | Specialist/Technologist | Asu Station# 10903, San Angelo, TX 76909-0001 | 2006-04-08 |
| 1487622403 | Randell Gene Matthews | Specialist/Technologist | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2006-03-08 |
| 1316506595 | Jacob Josiah Stockland | Specialist/Technologist | 2237 S. Jackson, San Angelo, TX 76904 | 2019-06-11 |
| 1497233134 | Brittney Hughes | Specialist/Technologist | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2018-08-03 |
| Find all providers in SAN ANGELO | ||||
| City | SAN ANGELO |
| Zip Code | 76901 |
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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.