Healthcare Provider Details

I. General information

NPI: 1073595351
Provider Name (Legal Business Name): GREGORY BRIAN BECHILL DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: BRIAN BECHILL DO

II. Dates (important events)

Enumeration Date: 11/14/2005
Last Update Date: 10/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1910 PINE AVE
ALMA MI
48801-1298
US

IV. Provider business mailing address

1447 N HARRISON ST
SAGINAW MI
48602-4727
US

V. Phone/Fax

Practice location:
  • Phone: 989-463-3101
  • Fax: 989-463-2824
Mailing address:
  • Phone: 989-463-3101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4278
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number5101015442
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: