Brenda Bauman, ATC
Specialist/Technologist, Athletic Trainer in Saint Joseph, MO. Individual provider (NPI-1).
NPI number1477944239
StatusActive
Last updated in NPPESFeb 13, 2015
Details
- NPI
- 1477944239
- Entity type
- Individual (NPI-1)
- Name
- Ms. Brenda Bauman
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 13, 2015
- Last updated
- Feb 13, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 104431 | MO | Yes |
Practice location
3107 Frederick AveSaint Joseph, MO 64506-2956
Phone 816-233-9555 · Fax 816-279-1423
Mailing address
3107 Frederick AveSaint Joseph, MO 64506-2956
Phone 816-233-9555 · Fax 816-279-1423
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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