IndividualActive
Joshua Brodersen, LAT, ATC
NPI 1740720283 · Athletic Trainer · Bloomington, MN
Provider details
- NPI number
- 1740720283
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT, ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 3002 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
8100 Northland Dr
Bloomington, MN 55431-4800
Phone: (906) 221-1181
Street-level locationGet directions
Mailing address
15827 Griffon Path
Apple Valley, MN 55124-6661
Additional practice locations (1)
- 1837 University Dr N Apt 318Fargo, ND 58105-2504Phone: (906) 221-1181
Registry dates
- Enumerated
- 2017-03-02
- Last updated
- 2019-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.