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

Mr. Brandon Michael Wilber, AT, ATC

Individual provider Athletic Trainer · NPI 1902570104

Mr. Brandon Michael Wilber, AT, ATC is an Athletic Trainer in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2021.

Licensed in
MI
In the registry since
2021
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

143 Bostwick Ave NE
Grand Rapids, MI 49503-3201
Phone: (616) 234-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2601002473 (MI)

Record details

NPI number1902570104
Entity typeIndividual (Type 1)
GenderMale
Credentials AT , ATC
Sole proprietorNo
NPI enumeratedAugust 3, 2021
Last updated in NPPESAugust 3, 2021
Certification dateAugust 3, 2021

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