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

Mr. Brandon Scott Ellenwood, ATC

Individual provider Athletic Trainer · NPI 1578300703

Mr. Brandon Scott Ellenwood, ATC is an Athletic Trainer in Council Bluffs, Iowa. Practices as a sole proprietor. Licensed in Iowa.

Licensed in
IA
In the registry since
2024
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

3504 Harry Langdon Blvd
Council Bluffs, IA 51503-7829
Phone: (712) 366-8220
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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 127245 (IA)

Record details

NPI number1578300703
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedJuly 15, 2024
Last updated in NPPESJuly 15, 2024
Certification dateJuly 14, 2024

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