Brandon Ellenwood, ATC
NPI 1578300703 · Athletic Trainer · Council Bluffs, IA
Brandon Ellenwood, ATC is a Athletic Trainer provider in Council Bluffs, IA (NPI 1578300703).
Provider details
- NPI number
- 1578300703
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 127245 (IA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-07-15
- Last updated
- 2024-07-15
- Certified
- 2024-07-14
Frequently asked questions
- What is Brandon Ellenwood's NPI number?
- Brandon Ellenwood's National Provider Identifier (NPI) is 1578300703, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brandon Ellenwood's specialty?
- Brandon Ellenwood is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Brandon Ellenwood located?
- Brandon Ellenwood's practice location on file with NPPES is 3504 Harry Langdon Blvd, Council Bluffs, IA 51503-7829.
- What is Brandon Ellenwood's phone number?
- The practice phone number listed in the NPPES registry for Brandon Ellenwood is (712) 366-8220.
- Is Brandon Ellenwood's NPI active?
- Yes — Brandon Ellenwood's NPI (1578300703) is active in the NPPES registry as of the last update on 2024-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.