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BRUCE WILLARD LAT, ATC
NPI 1053738047
Specialist/Technologist - Athletic Trainer in Indianapolis, IN

Active since March 27, 2014
201 PENNSYLVANIA PARKWAY, THOMAS A BRADY SPORTS MEDICINE CENTER PC, INDIANAPOLIS, IN 46280(317) 491-5464 Get Directions Write a Review

NPPES record last updated: March 27, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bruce Willard Lat, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRUCE WILLARD LAT, ATC (NPI 1053738047) is an individual athletic trainer provider in Indianapolis, Indiana, licensed in Indiana (36000670A) and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1053738047
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameBRUCE WILLARDCredential: LAT, ATC
Location Address201 PENNSYLVANIA PARKWAY, THOMAS A BRADY SPORTS MEDICINE CENTER PCIndianapolis, IN 46280
Mailing Address10356 Parkshore DrFishers, IN 46038-5511 · (317) 491-5464
Phone(317) 491-5464
Sole ProprietorNo
Enumeration DateMarch 27, 2014
✔ NPI 1053738047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in IN · 36000670A
Definition
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.
201 PENNSYLVANIA PARKWAY, Indianapolis, IN 46280
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VALERIE A PURVIN MD PC
Psychiatry & Neurology (Neurology)
201 PENNSYLVANIA PARKWAY
INDIANAPOLIS, IN 46280
Hamilton County (317) 817-1254
MR. GARY W MISAMORE MD
Orthopaedic Surgery (Sports Medicine)
201 PENNSYLVANIA PARKWAY, SUITE 200
INDIANAPOLIS, IN 46280
Hamilton County (317) 817-1200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bruce Willard's NPI number?

The NPI number for Bruce Willard is 1053738047. It was assigned to this individual provider in the NPPES registry on March 27, 2014.

Where is Bruce Willard located?

Bruce Willard practices at 201 Pennsylvania Parkway Thomas A Brady Sports Medicine Center PC, Indianapolis, IN 46280. The listed phone number is (317) 491-5464.

What is Bruce Willard's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Bruce Willard was last updated on March 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.