MEDICARE: BRANDON WAYNE KLUMP MSPT, ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer
2	225100000X	Physical Therapist	BK011462	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0C81077	OTHER	MI	BCBS

General Provider Information

NPI Number	:	1851436521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDON WAYNE KLUMP MSPT, ATC

Provider Business Mailing Address
First Line	:	3073 SHIRLEY DR
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49201-7010
Country	:	US
Telephone Number	:	517-990-6211
Fax Number	:	517-990-6212

Provider Business Practice Location Address
First Line	:	2136 ROBINSON RD STE 1
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49203-3558
Country	:	US
Telephone Number	:	517-750-2540
Fax Number	:	517-750-2044

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	02/05/2025

Similar Medicare Providers

1578419487 — MS. CYNTHIA A KEYES
Practice Location Address:

2136 ROBINSON RD STE 3
JACKSON, MI
49203-3558

Practice Phone: 517-962-5063
Practice Fax: 517-962-5209

1518078187 — MRS. ANGELA LYNN LEFERE OT
Practice Location Address:

2136 ROBINSON RD STE 1
JACKSON, MI
49203-3558

Practice Phone: 517-750-2540
Practice Fax: 517-990-6212

1831335280 — ADRIENNE LEE TAWNEY PT
Practice Location Address:

2136 ROBINSON RD STE 1
JACKSON, MI
49203-3558

Practice Phone: 517-750-2540
Practice Fax: 517-750-2044

1154768463 — MR. CORY D ROGOTZKE DPT
Practice Location Address:

2136 ROBINSON RD STE 1
JACKSON, MI
49203-3558

Practice Phone: 517-750-2540
Practice Fax: 517-990-6212

1487041836 — SARA M MCDERMOTT PT
Practice Location Address:

2136 ROBINSON RD STE 1
JACKSON, MI
49203-3558

Practice Phone: 517-750-2540
Practice Fax: 517-750-2044

1831693258 — DR. AUSTIN PAUL BROWN PHARMD
Practice Location Address:

2136 ROBINSON RD STE 2
JACKSON, MI
49203-3558

Practice Phone: 517-750-2180
Practice Fax: 517-750-2181

Directions to “ BRANDON WAYNE KLUMP MSPT, ATC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.