Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ciara Deborah Brege, PA-C, LAT, ATC

Individual provider Athletic Trainer · NPI 1235776683

Ciara Deborah Brege, PA-C, LAT, ATC is an Athletic Trainer in Goodrich, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

8056 Washburn Rd
Goodrich, MI 48438-9720
Phone: (612) 770-0529
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (MI)
Athletic Trainer Taxonomy 2255A2300X · Licence 2601002543 (MI)

Record details

NPI number1235776683
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , LAT , ATC
Sole proprietorYes
NPI enumeratedDecember 4, 2019
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026

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