- Practice location
- 1824 Parkford Ln, Columbus, OH 43229-7084
- Phone
- 860-712-8466
- Fax
- —
- Last updated
- August 6, 2020
Philip Joseph Brazalovich is a Specialist/Technologist, Athletic Trainer based in Columbus, OH. Philip Joseph Brazalovich practices in Columbus, OH and has the professional credentials of ATC. The NPI Number for Philip Joseph Brazalovich is 1710411491 and holds a License No. 001143 (CT). The current practice location address for Philip Joseph Brazalovich is 1824 Parkford Ln, Columbus, OH 43229-7084 and can be reached out via phone at 860-712-8466.
Provider Profile Details
- NPI Number
- 1710411491
- Provider Name
- Philip Joseph Brazalovich
- Credential
- ATC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1824 Parkford Ln, Columbus, OH 43229-7084
- Phone Number
- 860-712-8466
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 19, 2017
- Last Update Date
- August 6, 2020
- Certification Date
- August 6, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1824 Parkford Ln
Columbus, OH 43229-7084 - City
- Columbus
- State
- Ohio
- Zip
- 43229-7084
- Phone Number
- 860-712-8466
Provider Business Mailing Address Details
- Address
- 96 Talcott RD
Glastonbury, CT 06033-2919 - City
- Glastonbury
- State
- CT
- Zip
- 06033-2919
- Phone Number
- 860-712-8466
License Information
- License Number (1)
- 001143
- License State (1)
- CT
- Taxonomy (1)
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- License Number (2)
- AT005382
- License State (2)
- OH
- Taxonomy (2)
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Philip J Brazalovich Jr., ATC?
The NPI number of Philip J Brazalovich Jr., ATC is 1710411491. It was assigned on April 19, 2017 and is currently active in the NPPES registry.
What is the specialty of Philip J Brazalovich Jr., ATC?
Philip J Brazalovich Jr., ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in CT under license number 001143.
Where does Philip J Brazalovich Jr., ATC practice?
The practice location is 1824 Parkford Ln, Columbus, OH 43229-7084. The office can be reached at 860-712-8466 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710411491 directly on the NPPES registry website.