Individual provider Active NPI

Eric McKenzie Greber, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Thibodaux, LA
National Provider Identifier
1225320906
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
MD.306703 Issued in LA
Practice address
726 N Acadia Rd Ste 1000
Thibodaux, LA 70301-5009
Phone
(985) 625-2200
Fax
(985) 625-2206
NPI assigned
May 12, 2011
Reactivated
Feb 27, 2018
Last updated
Feb 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X MD.306703 LA 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) 625-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20170905002069 LA Practitioner - Orthopedic Surgery 1456678911 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Louisiana State University School of Medicine in Shreveport, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Sports Specialists of Louisiana LLCGroup PAC ID 5991893869, 25 clinicians

Practice addresses (Care Compare)

1029 Northwest Blvd
Franklin, LA 70538-3407
Phone (337) 828-0760

1105 Northwest Blvd
Franklin, LA 70538-3409
Phone (985) 625-2200

200 Medical Dr
Franklin, LA 70538-4231
Phone (337) 828-5099

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement91
Knee replacement78
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.306703LAMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District No. 1 of the Parish of St. Mary CurrentSince May 4, 2020 Accepting new patients
Orthopaedic Sports Specialists of Louisiana LLC Orthopaedic Surgery CurrentSince Apr 1, 2019 Accepting new patients
Hospital Service District No. 1 of the Parish of St. Mary Orthopaedic Surgery CurrentSince May 4, 2020 Accepting new patients
Orthopaedic Sports Specialists of Louisiana, LLC Orthopaedic Surgery CurrentSince Apr 1, 2019 Accepting new patients
Orthopaedic Sports Specialists of Louisiana, LLC PastSince Oct 20, 2019 Accepting new patients
Thibodaux Regional Health System Inc Past Accepting new patients

Locations

1105 Northwest Blvd
Franklin, LA 70538
Phone (337) 828-9729

200 Medical Dr
Ste C
Franklin, LA 70538
Phone (337) 907-6102

180 Corporate Dr
Houma, LA 70360
Phone (985) 853-1390

141 Twin Oaks Dr
Raceland, LA 70394
Phone (985) 447-3889

726 N Acadia Rd
Ste 1000
Thibodaux, LA 70301

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1225320906",
    "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": "985-625-2200",
            "fax_number": "985-625-2206"
        },
        {
            "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": "985-625-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREBER",
        "first_name": "ERIC",
        "middle_name": "MCKENZIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-12",
        "last_updated": "2018-02-27",
        "deactivation_date": "2018-02-19",
        "reactivation_date": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "LA",
            "license": "MD.306703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.