Bradon Boeckman, PTA, ATC/L
NPI 1790122802 · Athletic Trainer · Greenville, OH
Bradon Boeckman, PTA, ATC/L is a Athletic Trainer provider in Greenville, OH (NPI 1790122802).
Provider details
- NPI number
- 1790122802
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA, ATC/L
- Sex
- Male
- Sole proprietor
- No
- License
- AT.003824 (OH)
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
13 yrs 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
- 2013-05-30
- Last updated
- 2014-07-02
Frequently asked questions
- What is Bradon Boeckman's NPI number?
- Bradon Boeckman's National Provider Identifier (NPI) is 1790122802, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bradon Boeckman's specialty?
- Bradon Boeckman is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Bradon Boeckman located?
- Bradon Boeckman's practice location on file with NPPES is 1111 Sweitzer St, Greenville, OH 45331-1189.
- What is Bradon Boeckman's phone number?
- The practice phone number listed in the NPPES registry for Bradon Boeckman is (937) 638-0783.
- Is Bradon Boeckman's NPI active?
- Yes — Bradon Boeckman's NPI (1790122802) is active in the NPPES registry as of the last update on 2014-07-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.