Active NPIIndividual providerSole proprietor

Kyle Brostrand, ATC

Specialist/Technologist, Athletic Trainer in Piscataway, New Jersey

NPI Number1881002848
Practice location
1 Scarlet Knight Way, Piscataway, NJ 08854-8069
Fax
—
Last updated
December 8, 2017

Kyle Brostrand is a Specialist/Technologist, Athletic Trainer based in Piscataway, NJ. Kyle Brostrand practices in Piscataway, NJ and has the professional credentials of ATC. The NPI Number for Kyle Brostrand is 1881002848 and holds a License No. 25MT00198700 (NJ). The current practice location address for Kyle Brostrand is 1 Scarlet Knight Way, Piscataway, NJ 08854-8069 and can be reached out via phone at 609-330-2926.

Provider Profile Details

NPI Number
1881002848
Provider Name
Kyle Brostrand
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
1 Scarlet Knight Way, Piscataway, NJ 08854-8069
Phone Number
609-330-2926
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
July 23, 2014
Last Update Date
December 8, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Scarlet Knight Way
Piscataway, NJ 08854-8069
Zip
08854-8069
Phone Number
609-330-2926
Piscataway, NJ 08854Get directions →

Provider Business Mailing Address Details

Address
1 Scarlet Knight Way
Piscataway, NJ 08854-8069
City
Piscataway
State
NJ
Zip
08854-8069
Phone Number
732-445-6272

License Information

License Number
25MT00198700
License State
NJ
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 Kyle Brostrand, ATC?

The NPI number of Kyle Brostrand, ATC is 1881002848. It was assigned on July 23, 2014 and is currently active in the NPPES registry.

What is the specialty of Kyle Brostrand, ATC?

Kyle Brostrand, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00198700.

Where does Kyle Brostrand, ATC practice?

The practice location is 1 Scarlet Knight Way, Piscataway, NJ 08854-8069. The office can be reached at 609-330-2926 (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 1881002848 directly on the NPPES registry website.

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