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

Bradley Bauman, ATC

Individual provider Other Specialist/Technologist · NPI 1114323409

Bradley Bauman, ATC is an Other Specialist/Technologist in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2014.

Licensed in
IL
In the registry since
2014
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

5045 Silver Fox Trl
Rockford, IL 61114-7085
Phone: (815) 315-7662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Specialist/Technologist (primary) Taxonomy 246Z00000X · Licence 096003283 (IL)

Record details

NPI number1114323409
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedNovember 13, 2014
Last updated in NPPESNovember 13, 2014

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