Individual provider Active NPI

Cody Bremner, PHD, LAT, ATC

  • Athletic Trainer
  • Cedar City, UT
National Provider Identifier
1700296563
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
10384140-4810 Issued in UT
Practice address
351 W University Blvd.
Cedar City, UT 84720-0001
Phone
(435) 531-3606
Fax
(435) 865-8507
NPI assigned
May 2, 2014
Last updated
Jan 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 10384140-4810 UT Primary

Addresses

Primary practice location

351 W University Blvd.
Cedar City, UT 84720-0001

Mailing address

351 W University Blvd.
Cedar City, UT 84720-0001
Phone (435) 531-3606

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/A Other

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

LicenseStateTypeSpecialty
10384140-4810UTMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1700296563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 W UNIVERSITY BLVD.",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847200001",
            "telephone_number": "435-531-3606",
            "fax_number": "358-658-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 W UNIVERSITY BLVD.",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847200001",
            "telephone_number": "435-531-3606",
            "fax_number": "435-865-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREMNER",
        "first_name": "CODY",
        "credential": "PHD, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-02",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "UT",
            "license": "10384140-4810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "N/A",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "351 W University Blvd",
            "city": "Cedar City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847202415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cedar City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.