Peter Bruzas, LAT, ATC, CSCS
NPI 1891151643ActiveIndividual· Specialist/Technologist, Athletic Trainer· Roswell, NM
Specialist/Technologist, Athletic Trainer (LAT, ATC, CSCS) in Roswell, New Mexico, licensed in NM, with an NPI issued in January 2016.
Overview
| NPI | 1891151643 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LAT, ATC, CSCS |
| Sole proprietor | Yes |
| NPI issued | Jan 9, 2016 |
| Last updated in NPPES | Jan 9, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist/Technologist, Athletic Trainer Primary | 2255A2300X | 613 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 Specialist/Technologist, Athletic Trainer providers in Roswell
- 1902891989
- 1740781194
- 1326263138
- 1336364124
- 1043646409
- 1477105922
- 1689601924
All Specialist/Technologist, Athletic Trainer providers in New Mexico →