Peter Dillon Gardner Alam
NPI 1417657594ActiveIndividual· Specialist/Technologist, Athletic Trainer· Albuquerque, NM
Specialist/Technologist, Athletic Trainer in Albuquerque, New Mexico, licensed in NM, with an NPI issued in March 2023.
Overview
| NPI | 1417657594 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Mar 7, 2023 |
| Last updated in NPPES | Jul 18, 2023 |
| Certified by provider | Jul 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist/Technologist, Athletic Trainer Primary | 2255A2300X | AT22024 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Specialist/Technologist, Athletic Trainer providers in Albuquerque
- 1619701455
- 1194278556
- 1487040903
- 1881000925
- 1306301122
- 1316964406
- 1174039747
- 1487161550
- 1679027924
- 1437769031
- 1619822277
- 1710556394
All Specialist/Technologist, Athletic Trainer providers in New Mexico →