Justin C Bley


Address: 1707 61st Ave, Suite 102, Greeley, CO 80634-7997

Justin C Bley (NPI# 1699881185, PAC ID# 4183902521) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.

Physician Overview

Nation Provider ID (NPI) 1699881185
PAC ID by PECOS 4183902521
Professional Enrollment ID I20161104002055
Full Name Justin C Bley
Address 1707 61st Ave
Suite 102
Greeley
CO 80634-7997
Gender M
Medical School TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1999
Primary Specialty ORAL SURGERY
Accepts Medicare Assignment M

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
060001 NORTH COLORADO MEDICAL CENTER

Other Locations

Address Phone Organization
1707 61st Ave, Suite 102, Greeley, CO 80634-7997
1707 61st Ave, Greeley, CO 80634-7997

Organization Information

Office Location

Street Address 1707 61ST AVE
SUITE 102
City GREELEY
State CO
Zip 80634-7997

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Competitor

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City GREELEY
Zip Code 80634
Specialty ORAL SURGERY
City + Specialty GREELEY + ORAL SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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