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

Brandon James Gustafson

Individual provider Athletic Trainer · NPI 1952069403

Brandon James Gustafson is an Athletic Trainer in Mankato, Minnesota. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

228 Wiecking Ctr
Mankato, MN 56001-6062
Phone: (507) 389-1866
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1952069403
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 1, 2021
Last updated in NPPESDecember 1, 2021
Certification dateDecember 1, 2021
Mailing address10220 Palm St Nw, Coon Rapids, MN 55433-5139

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