MR. BENJAMIN LONG (NPI# 1730411398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730411398 |
| Entity Type | Individual |
| Full Name | MR. BENJAMIN LONG |
| Credential | ATC |
| Practice Address |
314 Siltstone Rdg Brandon MS 39047-6377 |
| Practice Telephone | 6013978767 |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT0487 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356836597 | Benjamin Richard Long | Community Health Worker | 6 Kimball Ln Ste 310, Lynnfield, MA 01940-2680 | 2018-06-29 |
| 1043702392 | Benjamin Daniel Long | Internal Medicine | 701 N 1st St, Springfield, IL 62702-3757 | 2018-06-02 |
| 1982102885 | Benjamin C Long | Nurse Practitioner | 3105 Mcclelland Blvd., Joplin, MO 64804 | 2018-01-25 |
| 1043731979 | Benjamin S Long | Emergency Medicine | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2017-06-30 |
| 1801276563 | Benjamin Long | Counselor | 540 E 1st St, Waconia, MN 55387 | 2015-06-08 |
| 1710310289 | Benjamin Long | General Practice | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2013-08-19 |
| 1609111012 | Benjamin Reeves Long | Chiropractor | 428 Beecher Rd, Gahanna, OH 43230-4562 | 2012-12-11 |
| 1356496848 | Benjamin E. Long | Social Worker | 725 Yokum St, Elkins, WV 26241-3353 | 2007-01-24 |
| Street Address |
314 SILTSTONE RDG |
| City | BRANDON |
| State | MS |
| Zip Code | 39047-6377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396368783 | Siyuan Chen Kennedy | Counselor | 108 Sandstone Drive, Brandon, MS 39047 | 2020-05-20 |
| 1568019784 | Juarez Brown Emerson | Registered Nurse | 426 Pinebrook Circle, Brandon, MS 39047 | 2019-08-22 |
| 1649764127 | Specialty Diagnostics LLC | Family Medicine | 1149 Old Fannin Rd Ste 22, Brandon, MS 39047 | 2018-06-19 |
| 1528423035 | Kathlene Strangeman | Social Worker | 111 Lakeshore Dr Apt G403, Brandon, MS 39047 | 2015-12-28 |
| 1174935076 | Anthony Davis | Counselor | 198 Bellegrove Cir, Brandon, MS 39047 | 2014-05-27 |
| 1144659178 | Medical Foundation of Central Ms, Inc | Family Medicine | 1887 Spillway Rd., Brandon, MS 39047 | 2013-11-12 |
| 1437429941 | Picton Timothy Evans | Pharmacist | 150 B Cumberland Ed, Brandon, MS 39047 | 2012-01-01 |
| 1275828030 | Kathryn Audell Piburn | Nurse Practitioner | 1887 Spillway Rd Ste 140, Brandon, MS 39047 | 2011-06-09 |
| 1801930532 | Susanne Reynolds Moore | Dentist | 1149 Old Fannin Rd, Suite 26, Brandon, MS 39047 | 2007-02-16 |
| 1194898429 | Brookshire Grocery Company | Durable Medical Equipment & Medical Supplies | 143 Plaza Drive Ext, Attention Pharmacy Dept, Brandon, MS 39047 | 2006-11-16 |
| Find all providers in zip 39047 | ||||
| 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 |
|---|---|---|---|---|
| 1497370993 | Stacey Laron Waters | Specialist/Technologist | 804 Childers Loop, Brandon, FL 33511-6105 | 2020-06-10 |
| 1942852611 | Briana Shepherd | Specialist/Technologist | 325 Swallow Dr, Brandon, MS 39047-6454 | 2019-07-12 |
| 1821659731 | Ryan Joseph Esenwein | Specialist/Technologist | 1403 Lake Lucerne Way Apt 203, Brandon, FL 33511-2284 | 2019-06-23 |
| 1184180333 | Lauren Simard | Specialist/Technologist | 1101 Victoria St, Brandon, FL 33510-4197 | 2019-02-13 |
| 1083183461 | Julia Lynn Napoli | Specialist/Technologist | 1243 Alpine Lake Dr, Brandon, FL 33511-1898 | 2018-11-15 |
| 1447725585 | Brianna Mikol Gallegos | Specialist/Technologist | 2213 Kendall Springs Ct Apt 201, Brandon, FL 33510-2516 | 2018-10-04 |
| 1184119992 | Danny L Theys Jr. | Specialist/Technologist | 1910 Plantation Key Cir Apt 107, Brandon, FL 33511-4615 | 2018-06-25 |
| 1699278697 | Hannah Elsie Wendel | Specialist/Technologist | 8590 Sara Rd Nw, Brandon, MN 56315-8352 | 2018-03-15 |
| 1396261061 | Nicole Pallesco Samala | Specialist/Technologist | 305 E Brandon Blvd Ste 102, Brandon, FL 33511-5222 | 2017-08-15 |
| 1790214450 | Christopher Cody Garcia | Specialist/Technologist | 234 E Pinebrook Dr, Brandon, MS 39047-7817 | 2017-06-07 |
| Find all providers in BRANDON | ||||
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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.