Active NPI
Greg Gulbransen, DO
- Pediatrics Physician
- Oyster Bay, NY
National Provider Identifier
1073511622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 205715-1
- Practice address
- 229 South St
Oyster Bay, NY 11771-2910 - Phone
- (516) 922-3131
- Fax
- (516) 922-5218
- NPI assigned
- Jul 8, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 205715-1 | NY | Primary |
Addresses
Primary practice location
229 South St
Oyster Bay, NY 11771-2910
Mailing address
229 South St
Oyster Bay, NY 11771-2910
Phone (516) 922-3131
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7734061 | Other | NY | AETNA |
| 02232162 | Medicaid | NY | |
| 2C7659 | Other | NY | PHCS |
| OB203 | Other | NY | BLUE CROSS |
| P2160711 | Other | NY | OXFORD |
| 2698521 | Other | NY | GHI |
| NS0002187 | Other | NY | SELECT PRO |
| 0099840-002 | Other | NY | CIGNA |
| 108783 | Other | NY | VYTRA |
| 1938888002 | Other | NY | UNITED HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205715-1 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oyster Bay Pediatrics & Adolescent Medicine | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Adolescent Medicine Physician
- Oyster Bay, NY
- NPI 1740319334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1073511622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 SOUTH ST",
"city": "OYSTER BAY",
"state": "NY",
"postal_code": "117712910",
"telephone_number": "516-922-3131",
"fax_number": "516-922-5218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 SOUTH ST",
"city": "OYSTER BAY",
"state": "NY",
"postal_code": "117712910",
"telephone_number": "516-922-3131",
"fax_number": "516-922-5218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULBRANSEN",
"first_name": "GREG",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "205715-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7734061",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02232162",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "2C7659",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "OB203",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2160711",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2698521",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT PRO",
"identifier": "NS0002187",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0099840-002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "108783",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH",
"identifier": "1938888002",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oyster Bay, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.