G GREGG NEIBAUER (NPI# 1154500544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154500544 |
| Entity Type | Individual |
| Full Name | G GREGG NEIBAUER |
| Credential | D.P.M. |
| Practice Address |
1845 Bancroft St Missoula MT 59801-5747 |
| Practice Telephone | 4067214007 |
| Practice Fax Number | 4065499807 |
| Mailing Telephone | 4067214007 |
| Mailing Fax Number | 4065499807 |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2014-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
160 | MT | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | RAILROAD MEDICARE | P00097318 | 01 |
| MT | MEDICARE GROUP PIN | 000084041 | 01 |
| MT | BLUE CROSS BLUE SHIELD | 97315 | 01 |
| MT | 0390779 | 05 |
| Street Address |
1845 BANCROFT ST |
| City | MISSOULA |
| State | MT |
| Zip Code | 59801-5747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710928072 | G Gregg Neibauer, Dpm, Inc | Podiatrist | 1845 Bancroft St, Missoula, MT 59801-5747 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
| 1740815653 | Yuzo Fujiki | Specialist/Technologist | 210 N California St 104, Missoula, MT 59801 | 2020-03-11 |
| 1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
| 1437668530 | Rejuve Care Clinic, Inc | Plastic Surgery | 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 | 2017-09-21 |
| 1619499555 | Beatrice Elise Powers | Specialist/Technologist | 410 B Stephens Ave, Missoula, MT 59801 | 2017-07-12 |
| 1770012197 | Hannah Lepiane | Massage Therapist | 1313 S. 4th W., Missoula, MT 59801 | 2017-06-08 |
| 1811420227 | Celeste Willis | Social Worker | 1055 W. Sussex, Missoula, MT 59801 | 2017-04-04 |
| 1073050498 | Rina Kasuga | Specialist/Technologist | 913 Rimini Ct, Missoula, MT 59801 | 2017-01-24 |
| 1043756919 | Heather Bartz | Specialist/Technologist | 831 Hastings Ave, Missoula, MT 59801 | 2017-01-16 |
| 1255874517 | Sarabeth Haddad | Social Worker | 1055 W Sussex Ave, Missoula, MT 59801 | 2016-11-18 |
| Find all providers in zip 59801 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710928072 | G Gregg Neibauer, Dpm, Inc | Podiatrist | 1845 Bancroft St, Missoula, MT 59801-5747 | 2006-06-09 |
| 1477891265 | Advanced Foot & Ankle Center LLC | Podiatrist | 110 South Ave W, Missoula, MT 59801-8116 | 2013-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891817011 | Bozeman Foot and Ankle Clinic P.C. | Podiatrist | 931 Highland Blvd, Suite 3310, Bozeman, MT 59715 | 2007-04-06 |
| 1881780179 | William Mann Wilshire Iv | Podiatrist | 931 Highland Blvd, Suite 3310, Bozeman, MT 59715 | 2006-10-05 |
| 1437258209 | Tod Russell Storm | Podiatrist | 931 Highland Blvd, Suite 3310, Bozeman, MT 59715 | 2006-09-21 |
Please comment or provide details below to improve the information on G GREGG NEIBAUER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.