ERIC BENGTSON (NPI# 1720400062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720400062 |
| Entity Type | Individual |
| Full Name | ERIC BENGTSON |
| Credential | A.T.C., C.P.T. |
| Practice Address |
135 Jack Branch Dr Athletic Training Room - Owens Field House Boone NC 28608-0001 |
| Mailing Address |
266 Fox Den Ln Banner Elk NC 28604-8992 |
| Practice Telephone | 8282627478 |
| Mailing Telephone | 8282627478 |
| Mailing Fax Number | 8282627480 |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2014-01-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1498 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
135 JACK BRANCH DR ATHLETIC TRAINING ROOM - OWENS FIELD HOUSE |
| City | BOONE |
| State | NC |
| Zip Code | 28608-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356461149 | Andrew Sufficool | Specialist/Technologist | 135 Jack Branch Dr, Boone, NC 28608-0001 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730721200 | Kelsey Elizabeth Fields | Music Therapist | 400 University Hall, Boone, NC 28608 | 2019-10-16 |
| 1235527748 | Alan R Needle | Specialist/Technologist | 111 Rivers St, Asu Box 32071, Boone, NC 28608 | 2015-01-06 |
| 1376767939 | David James Neal | Pharmacist | Asu Health Service, 614 Howard Street, Boone, NC 28608 | 2007-04-12 |
| 1083723761 | Tandrea Jeanette Carter | Psychologist | 400 University Hall Dr, Boone, NC 28608 | 2006-08-29 |
| 1871826016 | Katurah Ruth Christenbury | Music Therapist | 400 University Hall Dr, Music Therapy At Appalachian State University, Boone, NC 28608 | 2009-09-04 |
| 1649812223 | Robert Tate Hamlet IIi | Specialist/Technologist | 425 Jack Branch Rd, Boone, NC 28608-0001 | 2019-10-15 |
| 1245888676 | Wiley Livingston Smith | Music Therapist | 813 Rivers St, Boone, NC 28608-0001 | 2019-08-28 |
| 1073000634 | Victoria April Ormand | Specialist/Technologist | 425 Jack Branch Drive, Boone, NC 28608-0001 | 2018-04-19 |
| 1285173138 | Matthew Moore | Specialist/Technologist | 287 Rivers St, Boone, NC 28608-0001 | 2017-02-13 |
| 1871953836 | Lacey Mainer | Specialist/Technologist | Owens Field Hous, Boone, NC 28608-0001 | 2016-03-03 |
| Find all providers in zip 28608 | ||||
| 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 |
|---|---|---|---|---|
| 1649812223 | Robert Tate Hamlet IIi | Specialist/Technologist | 425 Jack Branch Rd, Boone, NC 28608-0001 | 2019-10-15 |
| 1467003335 | Marguerite Berkowitz | Specialist/Technologist | 216 Adams Ln, Boone, NC 28607-7758 | 2019-09-23 |
| 1841758877 | Dakota Richmond Sherry | Specialist/Technologist | 1192 166th Dr, Boone, IA 50036-7387 | 2019-03-08 |
| 1073000634 | Victoria April Ormand | Specialist/Technologist | 425 Jack Branch Drive, Boone, NC 28608-0001 | 2018-04-19 |
| 1679072078 | Nathan Frank Peck | Specialist/Technologist | 123 Lomax St, Boone, NC 28607-7112 | 2018-02-12 |
| 1285173138 | Matthew Moore | Specialist/Technologist | 287 Rivers St, Boone, NC 28608-0001 | 2017-02-13 |
| 1295185783 | Jacy Cornelis | Specialist/Technologist | 1316 Parkside Dr, Boone, IA 50036-5218 | 2016-06-15 |
| 1871953836 | Lacey Mainer | Specialist/Technologist | Owens Field Hous, Boone, NC 28608-0001 | 2016-03-03 |
| 1750754164 | Janet Allison Harmon | Specialist/Technologist | 208 David Mclean Dr, Boone, NC 28607-8357 | 2015-11-06 |
| 1235527748 | Alan R Needle | Specialist/Technologist | 111 Rivers St, Asu Box 32071, Boone, NC 28608 | 2015-01-06 |
| Find all providers in BOONE | ||||
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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.