Active NPIIndividual providerSole proprietor

Brendan E Palm, ATC, CSCS

Specialist/Technologist, Athletic Trainer in Ridley Park, Pennsylvania

NPI Number1861956351
Practice location
1 S Stewart Ave, Ridley Park, PA 19078-1002
Fax
—
Last updated
May 27, 2019

Brendan Edward Palm is a Specialist/Technologist, Athletic Trainer based in Ridley Park, PA. Brendan Edward Palm practices in Ridley Park, PA and has the professional credentials of ATC, CSCS. The NPI Number for Brendan Edward Palm is 1861956351. The current practice location address for Brendan Edward Palm is 1 S Stewart Ave, Ridley Park, PA 19078-1002 and can be reached out via phone at 856-906-3224.

Provider Profile Details

NPI Number
1861956351
Provider Name
Brendan Edward Palm
Credential
ATC, CSCS
Provider Entity Type
Individual
Gender
Male
Address
1 S Stewart Ave, Ridley Park, PA 19078-1002
Phone Number
856-906-3224
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
January 29, 2019
Last Update Date
May 27, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 S Stewart Ave
Ridley Park, PA 19078-1002
Zip
19078-1002
Phone Number
856-906-3224
Ridley Park, PA 19078Get directions →

Provider Business Mailing Address Details

Address
10 E Close
Moorestown, NJ 08057-2747
City
Moorestown
State
NJ
Zip
08057-2747
Phone Number
856-906-3224

License Information

Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Brendan E Palm, ATC, CSCS?

The NPI number of Brendan E Palm, ATC, CSCS is 1861956351. It was assigned on January 29, 2019 and is currently active in the NPPES registry.

What is the specialty of Brendan E Palm, ATC, CSCS?

Brendan E Palm, ATC, CSCS is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X).

Where does Brendan E Palm, ATC, CSCS practice?

The practice location is 1 S Stewart Ave, Ridley Park, PA 19078-1002. The office can be reached at 856-906-3224 (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 1861956351 directly on the NPPES registry website.

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