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Active NPI 1588785265 Individual Practitioner Male Practitioner

Bradley Dean Mack , LATC

Specialist/Technologist - Athletic Trainer • Eagan, MN

Professional Overview & Biography Verified Profile Summary

Bradley Mack, LATC is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Eagan, MN. Practice services are available at 4185 BRADDOCK TRL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4185 Braddock Trl

Eagan, MN 551231575

Telephone 6516836945

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Eagan, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
16 Specialists

Practicing in Eagan, MN (1033 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License MN 1568

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Kaitlyn Jensen , MS, ATC, ATR

Specialist/Technologist - Athletic Trainer

NPI 1376999052

Master of Science, Certified Athletic Trainer, ATR

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4185 BRADDOCK TRL, EAGAN, MN 551231575 (Tel: 6516836945)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3749 DENMARK TRL W, EAGAN, MN 551231010 (Tel: 6516880960)

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Provider Name / Credentials Updated July 08, 2007

Recorded as BRADLEY MACK, LATC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist/Technologist (License #1568 in MN)

🟢
Initial NPI Registration & Enumeration April 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1588785265
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

3749 Denmark Trl W

Eagan, MN 551231010

Phone: 6516880960

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.