BRADY JAMES ABBOTT NPI 1114508660

NPI Information

  • NPI: 1114508660
  • Provider Name: BRADY JAMES ABBOTT
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 3203 CARROLL ULMER RD
    VALDOSTA, GA
    ZIP 31601
  • Phone: (229) 251-0173

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NPI Details

Brady James Abbott is a student in an organized health care education training program in Valdosta, GA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Brady James Abbott NPI is 1114508660. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3203 CARROLL ULMER RD
VALDOSTA, GA
ZIP 31601-133
Phone: (229) 251-0173

The enumeration date for this NPI number is 4/16/2021 and was last updated on 4/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12255A2300XSpecialist/TechnologistAthletic TrainerGEORGIANo
2390200000XStudent in an Organized Health Care Education/Training ProgramGEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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