Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Michael Bacon, MS, AT, ATC

Individual provider Specialist · NPI 1801219548

Andrew Michael Bacon, MS, AT, ATC is a Specialist in Dayton, Ohio. Licensed in Ohio. Registered with an NPI since 2014.

Licensed in
OH
In the registry since
2014
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

300 College Park Cronin Athletic Ctr Rm 101
Dayton, OH 45469-0001
Phone: (951) 541-4697
Fax: (937) 229-5448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 004263 (OH)

Record details

NPI number1801219548
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , AT , ATC
Sole proprietorNo
NPI enumeratedJanuary 31, 2014
Last updated in NPPESJanuary 5, 2022
Certification dateJanuary 5, 2022

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