Bianca Simone Broughton, LAT, ATC, EMT
NPI 1376936526ActiveIndividual· Specialist/Technologist, Athletic Trainer· Dallas, TX
Specialist/Technologist, Athletic Trainer (LAT, ATC, EMT) in Dallas, Texas, licensed in TX and NC, with an NPI issued in March 2015.
Overview
| NPI | 1376936526 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LAT, ATC, EMT |
| Sole proprietor | Yes |
| NPI issued | Mar 12, 2015 |
| Last updated in NPPES | Dec 8, 2022 |
| Certified by provider | Dec 8, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist/Technologist, Athletic Trainer Primary | 2255A2300X | AT5277 | TX |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | 2481 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other athletic trainers in Dallas
- 1396101234
- 1407840275
- 1639080526
- 1134243694
- 1235505066
- 1033621321
- 1063278521
- 1245858901
- 1093201725
- 1578355582
- 1275173395
- 1598878423
All 97 athletic trainers in Dallas · All athletic trainers in Texas