Individual provider Active NPI

Pe Carlos Gbamy

  • Clinical Exercise Physiologist
  • Saint Paul, MN
National Provider Identifier
1174429138
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Exercise PhysiologistTaxonomy code 224Y00000X
Practice address
2575 University Ave W Ste 140
Saint Paul, MN 55114-1069
Phone
(651) 254-9999
NPI assigned
Oct 16, 2026
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Exercise Physiologist 224Y00000X MN Primary

Addresses

Primary practice location

2575 University Ave W Ste 140
Saint Paul, MN 55114-1069

Mailing address

2575 University Ave W Ste 140
Saint Paul, MN 55114-1069
Phone (651) 254-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1792108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1174429138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 UNIVERSITY AVE W STE 140",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141069",
            "telephone_number": "651-254-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 UNIVERSITY AVE W STE 140",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141069",
            "telephone_number": "651-254-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GBAMY",
        "first_name": "PE CARLOS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-16",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.