Gregory C Pippert, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

37489 Issued in MN

Practice address

7270 Forestview LN N
Suite #225
Maple Grove, MN 55369-5546

Phone

(866) 542-4932

Fax

(866) 542-6378

NPI assigned

Feb 13, 2006

Last updated

Apr 21, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 18, 2017 through Jun 18, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Gregory Pippert MD, PA

  dba BodyLogicMD of Maple Grove

  • Specialist
  • Maple Grove, MN
  • NPI 1992947501
  NPD (past) Authorized official

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303344000000",
    "number": "1124091731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7270 FORESTVIEW LN N",
            "address_2": "SUITE #225",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553695546",
            "telephone_number": "866-542-4932",
            "fax_number": "866-542-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7270 FORESTVIEW LN N",
            "address_2": "SUITE #225",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553695546",
            "telephone_number": "866-542-4932",
            "fax_number": "866-542-6378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPPERT",
        "first_name": "GREGORY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2011-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "37489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph James Pietrafitta, M.D.
• Julie Pietsch
• Piic Clinical Services (Boston Scientific Occupation Health Center - Maple Grove)
• Thomas John Pink, DDS
• Pipe Trade Healthcare Services
• Stacy Pirruccello, OD
• Andrew John Barran Pisansky, MD, MS
• Corey Pisk, PHARM.D.
• Plateau Healthcare Maple Grove LLC (PHC Maple Grove)
• Platinum Health, LLC

• Emergency Medicine Physician in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Emergency Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.