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JOSHUA MICHAEL BRODERSEN LAT, ATC
NPI 1740720283
Specialist/Technologist - Athletic Trainer in Bloomington, MN

Active since March 02, 2017
8100 NORTHLAND DR, BLOOMINGTON, MN 55431(906) 221-1181 Get Directions Write a Review

NPPES record last updated: April 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 30, 2019, Mar 2, 2017 (2 updates tracked since 2017).

About Joshua Michael Brodersen Lat, Atc NPPES

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

JOSHUA MICHAEL BRODERSEN LAT, ATC (NPI 1740720283) is an individual athletic trainer provider in Bloomington, Minnesota, licensed in Minnesota (3002) and active in the NPI registry since March 2017. He maintains a secondary practice location in Fargo.

NPPES Registry Identity

NPI1740720283
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameJOSHUA MICHAEL BRODERSENCredential: LAT, ATC
Location Address8100 NORTHLAND DRBloomington, MN 55431-4800
Mailing Address15827 Griffon PathApple Valley, MN 55124-6661 · (906) 221-1181
Phone(906) 221-1181
Sole ProprietorNo
Enumeration DateMarch 2, 2017
Last NPPES UpdateApril 30, 20192 updates tracked since enumeration
✔ NPI 1740720283 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 MN · 3002
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.
8100 NORTHLAND DR, Bloomington, MN 55431
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Secondary Practice Location 1

Location 11837 University Dr N Apt 318Fargo, ND 58105-2504 · Phone (906) 221-1181

Other Providers at the Same Location NPPES 20

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

NICOLE BREUER ATC
Specialist/Technologist (Athletic Trainer)
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Hennepin County (952) 831-8742
KIM M WATERBURY MS, OTRL, CHT
Occupational Therapist
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Hennepin County (952) 831-8742
JOSHUA VEENSTRA MD
Orthopaedic Surgery
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Hennepin County (952) 831-8742
MS. NANCY J CALLINAN OT
Occupational Therapist (Hand)
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Hennepin County (952) 831-8742
KELSEY GLEICH ATC
Specialist/Technologist (Athletic Trainer)
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Hennepin County (952) 831-8742
TRIA ORTHOPAEDIC CENTER LLC
Clinic/Center (Ambulatory Surgical)
8100 NORTHLAND DR
MINNEAPOLIS, MN 55431
Hennepin County (952) 831-8742
CHRISTOPHER M. WALKER ATC
Specialist/Technologist (Athletic Trainer)
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Hennepin County (952) 806-5745
GARRISON GLENN RICE DO
Family Medicine (Sports Medicine)
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Hennepin County (952) 831-8742

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 Joshua Brodersen's NPI number?

The NPI number for Joshua Brodersen is 1740720283. It was assigned to this individual provider in the NPPES registry on March 2, 2017.

Where is Joshua Brodersen located?

Joshua Brodersen practices at 8100 Northland Dr, Bloomington, MN 55431. The listed phone number is (906) 221-1181.

What is Joshua Brodersen'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 Joshua Brodersen was last updated on April 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.