Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mr. Bradon Thomas Boeckman, PTA, ATC/L
Athletic Trainer in Greenville, OH · enumerated 2013.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1790122802
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Registry record
Entity type Individual (Type 1)
Name Mr. Bradon Thomas Boeckman
Credential PTA, ATC/L
Sex Male
Practice address 1111 Sweitzer St, Greenville, OH, 45331
Phone (937) 638-0783
Enumeration date May 30, 2013
Last updated in NPPES Jul 2, 2014
Taxonomy & licenses
2255A2300X Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License AT.003824 (OH) Primary
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
How do I verify Bradon Boeckman's NPI record?
Cross-check NPI 1790122802 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1790122802 active?
Yes, as of the latest NPPES snapshot, NPI 1790122802 is active (record last updated 2014-07-02).
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-07-02.