G Gregg Neibauer
Foot Surgery
1845 Bancroft St
Missoula
, Montana 59801-5747
G Gregg Neibauer
Foot Surgery
1845 Bancroft St
Missoula
, Montana 59801-5747
(406) 549-9807
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- G Gregg Neibauer
- 1845 Bancroft St
- Missoula, MT
- Zip : 59801-5747
- Fax : (406) 549-9807
- Phone : (406) 721-4007
Second Address
- G Gregg Neibauer
- 1845 Bancroft St
- Missoula, MT
- Zip : 59801-5747
- Fax : (406) 549-9807
- Phone : (406) 721-4007
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | 160 | MT |
National Provider Identifier
| NPI | 1154500544 |
|---|---|
| Provider Name | G Gregg Neibauer |
| First Address | Missoula, MT 59801-5747 |
| Second Address | Missoula, MT 59801-5747 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2007 |
| Last Update Date | 07/04/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000084041 | MEDICARE GROUP PIN (01) | MT |
| 0390779 | (05) | MT |
| 97315 | BLUE CROSS BLUE SHIELD (01) | MT |
| P00097318 | RAILROAD MEDICARE (01) | MT |
| U81726 | (02) | MT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.