Organization Active NPI

Eric M. Greber, MD, LLC

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Thibodaux, LA
National Provider Identifier
1164946315
Registry record updated Feb 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
Legal business name
ERIC M. GREBER, MD, LLC
Practice address
726 N Acadia Rd Ste 1000
Thibodaux, LA 70301-5009
Phone
(985) 625-2200
Fax
(985) 625-1212
NPI assigned
Jul 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2018

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

Authorized official

Name
Ms. Kim M Legendre, MBA
Title
Cfo
Phone
(985) 492-1204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0114X Primary

Addresses

Primary practice location

726 N Acadia Rd Ste 1000
Thibodaux, LA 70301-5009

Mailing address

PO Box 28
Thibodaux, LA 70302-0028
Phone (985) 492-1204

Other identifiers 1

IdentifierTypeStateIssuer
1225320906OtherNPPES

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518998400000",
    "number": "1164946315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703020028",
            "telephone_number": "985-492-1204",
            "fax_number": "985-492-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 N ACADIA RD STE 1000",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703015009",
            "telephone_number": "985-625-2200",
            "fax_number": "985-625-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC M. GREBER, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-31",
        "last_updated": "2018-02-19",
        "status": "A",
        "authorized_official_last_name": "LEGENDRE",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "985-492-1204",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1225320906",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2018; 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.