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

Mr. Charles Scott Vandebogart Jr., ATC

Individual provider Athletic Trainer · NPI 1700309671

Mr. Charles Scott Vandebogart Jr., ATC is an Athletic Trainer in Millbrook, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

2 Frnt ST
Millbrook, NY 12545-5948
Phone: (845) 677-5021
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (NY)

Record details

NPI number1700309671
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedJuly 21, 2017
Last updated in NPPESJuly 21, 2017

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