DAVID MINCBERG


Address: 6740 Aldo Leopold Way, Middleton, WI 53562-1198
Phone: 6083334714

DAVID MINCBERG (NPI# 1912364209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912364209
Entity Type Individual
Full Name DAVID MINCBERG
Credential ATC, NREMT
Practice Address 6740 Aldo Leopold Way
Middleton
WI 53562-1198
Practice Telephone 6083334714
Mailing Telephone 6083334714
Enumeration Date 2016-01-19
Last Update Date 2016-01-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
LAT-2478 NC Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 6740 ALDO LEOPOLD WAY
City MIDDLETON
State WI
Zip Code 53562-1198

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770143802 Taylor Moore Chiropractor 6629 University Ave Ste 101, Middleton, WI 53562 2019-06-20
1558861302 Nissenbaum and Schleusner Pro Physical Therapy LLC Physical Therapist 6649 University Ave Ste 100, Middleton, WI 53562 2018-02-19
1750804514 University of Wisconsin Hospitals and Clinics Authority Pharmacy 3185 Deming Way, Middleton, WI 53562 2017-07-24
1285165803 Julie Zimmerman Pharmacist 7414 Voss Pkwy, Middleton, WI 53562 2017-03-24
1982072773 Gina Craig Physical Therapist 2521 Allen Boulevard, Middleton, WI 53562 2015-09-10
1588030464 Nicholas Capote Pharmacist 600 Highland Avenue, F6/133, Madison, WI 53562 2015-08-14
1679975734 Emily Herzog Nurse Practitioner 7248 Squire Cir, Middleton, WI 53562 2014-09-20
1942620752 Brooke Michelle Moungey Emergency Medicine 8540 Greenway Blvd, Middleton, WI 53562 2014-04-18
1962820027 Jennifer Ciske Larson Ophthalmology 2349 Deming Way Deming Way Eye Clinic, Middleton, WI 53562 2014-04-04
1740525971 Sara E.m. Nichols Veterinarian 1612 N. High Point Rd., Middleton, WI 53562 2012-11-28
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467993568 Sara Schmitz Specialist/Technologist 8593 Ellington Way, Middleton, WI 53562-4902 2017-03-09
1528292182 Gregory Howard Abbott Specialist/Technologist 61 Ridge Rd, Middleton, NH 03887-6210 2009-05-12
1992193924 Amanda Hansen Specialist/Technologist 2275 Deming Way, Middleton, WI 53562-5527 2014-12-29
1669614699 Matthew Paul Brucker Jr. Specialist/Technologist 30 Log Bridge Rd, Middleton, MA 01949-2252 2009-04-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427657329 Tyler John Friis Specialist/Technologist 1514 E Keystone Ln, Appleton, WI 54913-7162 2020-10-21
1184222085 Ryan James Mcnamara Specialist/Technologist 28914 Golden Cir, Waterford, WI 53185-1197 2020-10-13
1770198699 Tanner Sterling Specialist/Technologist 2538 E Garrison Rd, Foxboro, WI 54836-9507 2020-09-09
1922626670 Eric William Brostrom Specialist/Technologist 3305 Lilly Rd, Brookfield, WI 53005-7608 2020-07-09
1174146690 Brycen Valiga Specialist/Technologist 4477 S 113th St, Greenfield, WI 53228-2566 2020-05-19
1104448307 Xeing Randy Yang Specialist/Technologist 2207 Namekagon St, Hudson, WI 54016-9426 2020-05-11
1073134615 Brian Wood Specialist/Technologist 1950 Washington St, Grafton, WI 53024-2103 2020-05-06
1124649751 Cody Scott Tesch Specialist/Technologist 6680 N Teutonia Ave, Milwaukee, WI 53209-3117 2020-05-05
1659992642 Kelley Potila Specialist/Technologist 255 Maggilu Ct, Jefferson, WI 53549-2095 2020-04-30
1366070708 Claire Duwell Specialist/Technologist 9111 W Bluemound Rd, Milwaukee, WI 53226-4506 2020-03-31
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Competitor

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City MIDDLETON
Zip Code 53562

Improve Information

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Dataset Information

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.

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