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

Jacob Allen Burgoon

Individual provider Athletic Trainer · NPI 1437779212

Jacob Allen Burgoon is an Athletic Trainer in Circle Pines, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

310 Little John Dr
Circle Pines, MN 55014-1721
Phone: (360) 223-9941
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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 number1437779212
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 21, 2020
Last updated in NPPESApril 21, 2020
Certification dateApril 21, 2020

Other providers in Circle Pines