Physician Compare National (NPI:1154500544)

HEALTHCARE PROVIDER: G GREGG NEIBAUER D.P.M.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1154500544
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9830189265
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040517000708
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NEIBAUER
	Individual professional last name
Provider First Name	GARY
	Individual professional first name
Provider Middle Name	GREGG
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DPM
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1998
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1845 BANCROFT ST
	Group Practice or individual's line 1 address
City	MISSOULA
	Group Practice or individual's city
State	MT
	Group Practice or individual's state
Zip Code	598015747
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	270023
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	COMMUNITY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	270014
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST. PATRICK HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y