Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Bradley Michael Farrell, MS, LAT, ATC

Individual provider Athletic Trainer · NPI 1093957672

Mr. Bradley Michael Farrell, MS, LAT, ATC is an Athletic Trainer in Raleigh, North Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in Kentucky.

Licensed in
KY
In the registry since
2009
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

723 Saint Marys St
Raleigh, NC 27605-1424
Phone: (919) 856-7810
Fax: (919) 856-7822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1099 E. Young St., Rolesville, NC 27571-0001 — (919) 554-6303

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT505 (KY)

Record details

NPI number1093957672
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LAT , ATC
Sole proprietorYes
NPI enumeratedMarch 30, 2009
Last updated in NPPESFebruary 9, 2021
Certification dateFebruary 9, 2021

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