Active NPIIndividual providerSole proprietor

Mr. Brent A Riddle, MED, ATC, CSCS

Specialist/Technologist, Athletic Trainer in North Grafton, Massachusetts

NPI Number1932235165
Practice location
24 Williams RD, North Grafton, MA 01536-1238
Fax
—
Last updated
July 8, 2007

Brent Alan Riddle is a Specialist/Technologist, Athletic Trainer based in North Grafton, MA. Brent Alan Riddle practices in North Grafton, MA and has the professional credentials of MED, ATC, CSCS. The NPI Number for Brent Alan Riddle is 1932235165 and holds a License No. 1183 (MA). The current practice location address for Brent Alan Riddle is 24 Williams RD, North Grafton, MA 01536-1238 and can be reached out via phone at 508-839-0089.

Provider Profile Details

NPI Number
1932235165
Provider Name
Brent Alan Riddle
Credential
MED, ATC, CSCS
Provider Entity Type
Individual
Gender
Male
Address
24 Williams RD, North Grafton, MA 01536-1238
Phone Number
508-839-0089
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
February 23, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
24 Williams RD
North Grafton, MA 01536-1238
Zip
01536-1238
Phone Number
508-839-0089
North Grafton, MA 01536Get directions →

Provider Business Mailing Address Details

Address
24 Williams RD
North Grafton, MA 01536-1238
City
North Grafton
State
MA
Zip
01536-1238
Phone Number
508-839-0089

License Information

License Number
1183
License State
MA
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 Mr. Brent A Riddle, MED, ATC, CSCS?

The NPI number of Mr. Brent A Riddle, MED, ATC, CSCS is 1932235165. It was assigned on February 23, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Brent A Riddle, MED, ATC, CSCS?

Mr. Brent A Riddle, MED, ATC, CSCS is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 1183.

Where does Mr. Brent A Riddle, MED, ATC, CSCS practice?

The practice location is 24 Williams RD, North Grafton, MA 01536-1238. The office can be reached at 508-839-0089 (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 1932235165 directly on the NPPES registry website.

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