Healthcare Provider Details

I. General information

NPI: 1851367940
Provider Name (Legal Business Name): GREGORY D BILLS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 07/01/2024
Certification Date: 07/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

817 ONDOSSAGON WAY
MADISON WI
53719-3249
US

IV. Provider business mailing address

817 ONDOSSAGON WAY
MADISON WI
53719-3249
US

V. Phone/Fax

Practice location:
  • Phone: 608-833-2261
  • Fax:
Mailing address:
  • Phone: 608-833-2261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number33367
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: