Active NPI
Conrad Matthew Gabler, PHD, ATC
- Athletic Trainer
- Ogden, UT
National Provider Identifier
1306389770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 9881218-4810
- Practice address
- 1435 Village Dr
Swenson BLDG, 302J
Ogden, UT 84408-2805 - Phone
- (801) 626-8831
- Fax
- (801) 626-6228
- NPI assigned
- Dec 2, 2016
- 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 | 9881218-4810 | UT | Primary |
Addresses
Primary practice location
1435 Village Dr
Swenson BLDG, 302J
Ogden, UT 84408-2805
Mailing address
1435 Village Dr
Swenson BLDG, 302J
Ogden, UT 84408-2805
Phone (801) 626-8831
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9881218-4810 | UT | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480636800000",
"number": "1306389770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1435 VILLAGE DR",
"address_2": "SWENSON BLDG, 302J",
"city": "OGDEN",
"state": "UT",
"postal_code": "844082805",
"telephone_number": "801-626-8831",
"fax_number": "801-626-6228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1435 VILLAGE DR",
"address_2": "SWENSON BLDG, 302J",
"city": "OGDEN",
"state": "UT",
"postal_code": "844082805",
"telephone_number": "801-626-8831",
"fax_number": "801-626-6228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABLER",
"first_name": "CONRAD",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "PHD, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-02",
"last_updated": "2016-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "UT",
"license": "9881218-4810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.