Gregory Michael Buchalter, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

42644 Issued in CO

Practice address

ENT Clinic - Evans Community Hospital
1650 Cochrane Circle
Ft. Carson, CO 80913

Phone

(719) 524-6399

Fax

(719) 526-7320

NPI assigned

Oct 20, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1043209000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR",
            "city": "FT CARSON",
            "state": "CO",
            "postal_code": "809134613",
            "telephone_number": "719-524-6399",
            "fax_number": "719-503-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ENT CLINIC - EVANS COMMUNITY HOSPITAL",
            "address_2": "1650 COCHRANE CIRCLE",
            "city": "FT. CARSON",
            "state": "CO",
            "postal_code": "80913",
            "telephone_number": "719-524-6399",
            "fax_number": "719-526-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHALTER",
        "first_name": "GREGORY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CO",
            "license": "42644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65208510",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Brown, DMD, MS
• Terry J. Brown, RN
• Anne Marie Brtek, PSYD
• Meghan Olinda Bryant, LCSW
• Gabrielle Nicole Bryen
• Cheyenne Marie Buchanan, DENTAL ASSISTANT
• Cynthia Buchanan, FNP
• Emily Christine Buck, MD
• Ryan Bucknam, M.D.
• Katherine Buechner

• Otolaryngology Physician in Ft. Carson, CO
• Providers in Ft. Carson, CO by specialty
• Otolaryngology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.