Brian William Jansen, ATC, LAT

Specialist · Daytona Beach, FL

Individual Active NPI

NPI number 1922074293

Practice location

640 Dr Mary McLeod Bethune Blvd
Daytona Beach, FL 32114-3012
Phone
(386) 481-2261
Fax
(386) 481-2265

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NPI record

NPI
1922074293
Entity type
Individual (Type 1)
Enumeration date
February 27, 2006
Last updated
July 13, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X AL 571 FL

Mailing address

1610 3rd St
Daytona Beach, FL 32117-4556
Phone
(386) 341-3666

About Brian Jansen

Brian William Jansen, ATC, LAT is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 640 Dr Mary McLeod Bethune Blvd, Daytona Beach, FL 32114-3012. The NPI number 1922074293 was assigned on February 27, 2006 and the record was last updated on July 13, 2026.

Brian Jansen lists a license in the registry: #AL 571 (FL) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brian William Jansen, ATC, LAT?

The NPI number is 1922074293.

What is the phone number of Brian Jansen?

The phone number listed for the practice location is (386) 481-2261.

Where is Brian Jansen located?

640 Dr Mary McLeod Bethune Blvd, Daytona Beach, FL 32114-3012.

What is the taxonomy code for Brian Jansen?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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