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G GREGG NEIBAUER DPM INC NPI 1710928072


NPI Information

NPI: 1710928072
Provider Name: G GREGG NEIBAUER, DPM, INC

Doing Business As: ALPINE FOOT AND ANKLE CLINIC

Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
1845 BANCROFT ST
MISSOULA, MT
ZIP 59801
Phone: (406) 721-4007
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G GREGG NEIBAUER, DPM, INC is a foot surgery podiatrist in Missoula, MT. G GREGG NEIBAUER, DPM, INC NPI is 1710928072. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Alpine Foot And Ankle Clinic.

The provider's business location address is:

1845 BANCROFT ST
MISSOULA, MT
ZIP 59801-747
Phone: (406) 721-4007
Fax: (406) 549-9807

The provider's authorized official is Gary Gregg Neibauer .
The authorized official title is President and has the following contact phone number (406) 721-4007.

The enumeration date for this NPI number is 6/9/2006 and was last updated on 4/7/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0131XPodiatristFoot Surgery160MONTANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000084041MEDICARE ID-TYPE UNSPECIFIEDMONTANAGROUP NUMBER
20390779MEDICAIDMONTANA
3P00097318MEDICARE ID-TYPE UNSPECIFIEDMONTANARAILROAD MEDICARE
44567360001MEDICARE NSCMONTANA
5U81726MEDICARE UPIN
6000084042MEDICARE PINMONTANA
797315OTHERMONTANABLUECROSSBLUESHIELD OF MT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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