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NPI Code Detail

MEDICARE: DR. GREGORY SCOTT BAUER M.D.

MEDICARE:  DR. GREGORY SCOTT BAUER  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist200100508NC
2207X00000XOrthopaedic Surgery Physician200100508NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588644587
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GREGORY SCOTT BAUER M.D.
Provider Business Mailing Address
First Line : 2000 PERIMETER PARK DR
Second Line : STE 200
City : MORRISVILLE
State : NC
Zip : 27560-8442
Country : US
Telephone Number : 984-215-4110
Fax Number :
Provider Business Practice Location Address
First Line : 2808 MCLAMB PL
Second Line :
City : GOLDSBORO
State : NC
Zip : 27534-1600
Country : US
Telephone Number : 919-736-2157
Fax Number : 919-580-0424
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2006
Last Update Date : 05/06/2021

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