Gregory J McBride, D.O

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

5101018669 Issued in MI

Practice address

14695 Park Ave
Charlevoix, MI 49720-1920

Phone

(231) 547-2812

Fax

(231) 547-3067

NPI assigned

Jun 16, 2010

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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.

Enrollment records 1

Specialty

General Surgery

Education

Michigan State University College of Osteopathic Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Keweenaw Bay Indian CommunityGroup PAC ID 7315070471, 11 clinicians

Surgical Associates of Marquette, P.C.Group PAC ID 7719081074, 4 clinicians

Baraga County Memorial HospitalGroup PAC ID 7416866611, shared by 6 NPIs, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baraga County Memorial Hospital Hospital, L' Anse, MI, CCN 231307
• Uphs Marquette DLP Hospital Hospital, Marquette, MI, CCN 230054

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gregorymcbride@cah.cernerdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Surgical Associates of Marquette, P.C.

  • Surgery Physician
  • Marquette, MI
  • NPI 1902953011
  Medicare reassignment Care Compare group NPD
• Baraga County Memorial Hospital

  • Critical Access Hospital
  • Lanse, MI
  • NPI 1558479824
  Medicare reassignment NPD
• Baraga County Memorial Hospital

  • Family Medicine Physician
  • Lanse, MI
  • NPI 1851409643
  Medicare reassignment NPD
• Munson Healthcare Charlevoix Hospital

  • Pediatrics Physician
  • Charlevoix, MI
  • NPI 1326124058
  Medicare reassignment NPD
• Munson Healthcare Charlevoix Hospital

  • Critical Access Hospital
  • Charlevoix, MI
  • NPI 1346260692
  Medicare reassignment NPD
• Munson Healthcare Charlevoix Hospital

  • Otolaryngology Physician
  • Charlevoix, MI
  • NPI 1629154307

  Surgery

  Medicare reassignment NPD
• Keweenaw Bay Indian Community

  • Federally Qualified Health Center (FQHC)
  • Baraga, MI
  • NPI 1336232289
  Care Compare group
• Baraga County Memorial Hospital

  • Emergency Medicine Physician
  • Lanse, MI
  • NPI 1508960600
  NPD
• Baraga County Memorial Hospital

  • Home Health Agency
  • Lanse, MI
  • NPI 1932218807
  NPD
• Munson Healthcare Charlevoix Hospital

  • Certified Registered Nurse Anesthetist
  • Charlevoix, MI
  • NPI 1417033143
  NPD
• Munson Healthcare Charlevoix Hospital

  • General Practice Physician
  • Charlevoix, MI
  • NPI 1912384843
  NPD
• Constance G. Arnold, M.D.,P.C.

  • Plastic Surgery Physician
  • Marquette, MI
  • NPI 1083723589
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baraga County Memorial Hospital

  • Critical Access Hospital
  • Lanse, MI
  • NPI 1558479824
  Care Compare affiliation
• DLP Marquette General Hospital LLC

  • General Acute Care Hospital
  • Marquette, MI
  • NPI 1568727048
  Care Compare affiliation

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1134440845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14695 PARK AVE",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201920",
            "telephone_number": "989-620-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14695 PARK AVE",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201920",
            "telephone_number": "231-547-2812",
            "fax_number": "231-547-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "GREGORY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-16",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101018669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "GREGORYMCBRIDE@cah.cernerdirect.com",
            "affiliation": "N",
            "address_1": "14695 Park Ave",
            "city": "Charlevoix",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497201920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nina Kay Martenson, TLLP
• Sandra Lee Martin, WHNP-BC
• Maxwell Newman Smith Psychotherapy
• Leah M Mayotte, MA, LPC, CAADC, EMDR
• Gerald McAvoy, MA, LPC
• Kristen Lee McClure, D.C.
• McFadden Chiropractic Clinic Inc
• Brian Paul McFadden, DC
• McLaren Central Michigan
• Kara Mae McLellan, RDH

• Surgery Physician in Charlevoix, MI
• Providers in Charlevoix, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.