Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RANDOLPH ALLEN BRUNNER, LAT/ATC
Active Sole ProprietorDR. RANDOLPH ALLEN BRUNNER, LAT/ATC is a Athletic Trainer healthcare provider located in JUNCTION CITY, Oregon. NPI 1740964832 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · JUNCTION CITY, OR
Registration Details
- NPI Number
- 1740964832
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2023 (2.9941159510343 yrs)
- Last Updated
- Jun 9, 2023
- License
-
AT-AT-10193515 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
27033 FERGUSON RDJUNCTION CITY, OR, 974489320Browse OR providers · Browse ZIP 97448
- Phone
- 5417293609
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in JUNCTION CITY, OR
| Name | Credential | NPI |
|---|---|---|
| MR. TYLER J. RAUSCHERT | ATC/R | 1699315184 |
| HALEY FORTE | — | 1083246466 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.