Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRYAN JAMES BACA, ATC, CSCS
Active Sole ProprietorBRYAN JAMES BACA, ATC, CSCS is a Athletic Trainer healthcare provider located in WEST PALM BEACH, Florida. NPI 1881165082 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · WEST PALM BEACH, FL
Registration Details
- NPI Number
- 1881165082
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 16, 2018 (7.6697261165992 yrs)
- Last Updated
- Dec 16, 2018
- Licenses
-
AL4461 (FL)AT667 (NM)AT5461 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5454 N HAVERHILL RDWEST PALM BEACH, FL, 334073006Browse FL providers · Browse ZIP 33407
- Phone
- 7133766999
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in WEST PALM BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| MR. SHAWN M. RONEY | ATC, CSCS | 1427042555 |
| PROF. MATTHEW ROBERT KUTZ | ATC | 1346213865 |
| HAROLD ARTHUR SELLECK | ATC/L | 1821024183 |
| MR. ISIAH COLES | — | 1598797607 |
| ROBERT TYLER HAMILTON | MS, ATC | 1558404350 |
| MRS. JENNIFER M TINDALL | ATC/L | 1356541973 |
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.