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

Individual provider Athletic Trainer · NPI 1710411491

Philip Joseph Brazalovich Jr., ATC is an Athletic Trainer in Columbus, Ohio. Practices as a sole proprietor and works from 2 locations. Licensed in Connecticut and Ohio.

Licensed in
CT, OH
In the registry since
2017
Specialties on file
2
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

1824 Parkford Ln
Columbus, OH 43229-7084
Phone: (860) 712-8466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 96 Talcott Rd, Glastonbury, CT 06033-2919 — (860) 712-8466

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT005382 (OH)
Athletic Trainer Taxonomy 2255A2300X · Licence 001143 (CT)

Record details

NPI number1710411491
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedApril 19, 2017
Last updated in NPPESAugust 6, 2020
Certification dateAugust 6, 2020

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