Active NPI
Gregory Ebel, MSAT, LAT, ATC, EMT
- Athletic Trainer
- Greensboro, NC
National Provider Identifier
1306268651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2031
- Practice address
- 815 W Market St
Campbell Athletics Center
Greensboro, NC 27401-1823 - Phone
- (336) 272-7102
- Fax
- (336) 217-7237
- NPI assigned
- Jan 6, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2031 | NC | Primary |
Addresses
Primary practice location
815 W Market St
Campbell Athletics Center
Greensboro, NC 27401-1823
Mailing address
815 W Market St
Campbell Athletics Center
Greensboro, NC 27401-1823
Phone (336) 272-7102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P088768 | Other | NC | OFFICE OF EMERGENCY MEDICAL SERVICES |
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
- Credentials
- Emergency Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2031 | NC | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388966400000",
"number": "1306268651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 W MARKET ST",
"address_2": "CAMPBELL ATHLETICS CENTER",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011823",
"telephone_number": "336-272-7102",
"fax_number": "336-217-7237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 W MARKET ST",
"address_2": "CAMPBELL ATHLETICS CENTER",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011823",
"telephone_number": "336-272-7102",
"fax_number": "336-217-7237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBEL",
"first_name": "GREGORY",
"credential": "MSAT, LAT, ATC, EMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-06",
"last_updated": "2014-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "2031",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OFFICE OF EMERGENCY MEDICAL SERVICES",
"identifier": "P088768",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
- Mary Elizabeth Easton, LCSW
- Alice Ann Eaton, MSW, BCBA, LBA
- Quanya Nicholle Eaton, MSW, LCSW-A
- Rebecca Hollingsworth Eaton, MS,CCC-SLP
- Edward H Eaves, ATC, CSCS
- Yahia Aliosman Ebendriss
- Stefanie Lauren Eberhardt, PHARMD
- Angela Fanella Ebert, PT
- Clement Osemeke Ebhodaghe, PHARMACIST
- Salena Ebokpo, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.