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

Dr. Randolph Allen Brunner, LAT/ATC

Individual provider Athletic Trainer · NPI 1740964832

Dr. Randolph Allen Brunner, LAT/ATC is an Athletic Trainer in Junction City, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2023

Practice location Address checks out

27033 Ferguson Rd
Junction City, OR 97448-9320
Phone: (541) 729-3609
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT-AT-10193515 (OR)

Record details

NPI number1740964832
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT/ATC
Sole proprietorYes
NPI enumeratedJune 9, 2023
Last updated in NPPESJune 9, 2023
Certification dateJune 9, 2023

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