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

Thomas M Brundage, ATC

Individual provider Athletic Trainer · NPI 1477577500

Thomas M Brundage, ATC is an Athletic Trainer in Jefferson City, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
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

1002 Diamond Rdg Ste 800
Jefferson City, MO 65109-7906
Phone: (573) 761-9360
Fax: (573) 761-9362
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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 106726 (MO)

Record details

NPI number1477577500
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESMarch 18, 2015
Mailing address3301 Berrywood Dr, Suite 204, Columbia, MO 65201-6517

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