Organization Active NPI

Gregory Lebleu MD PA

  • Physical Medicine & Rehabilitation Physician
  • Gulf Breeze, FL
National Provider Identifier
1225360530
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
C53588 Issued in CA
Legal business name
GREGORY LEBLEU MD PA
Practice address
5203 Soundside Dr
Gulf Breeze, FL 32563-9314
Phone
(530) 308-3462
NPI assigned
Feb 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Authorized official

Name
Dr. Gregory E Lebleu, M.D.
Title
President
Phone
(530) 308-3462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X C53588 CA Primary

Addresses

Primary practice location

5203 Soundside Dr
Gulf Breeze, FL 32563-9314

Mailing address

5203 Soundside Dr
Gulf Breeze, FL 32563-9314
Phone (530) 308-3462

National Provider Directory

National Provider Directory

Locations

1389 Entrance Rd
Ste A
Leesville, LA 71446

NPI Registry JSON

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1225360530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203 SOUNDSIDE DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325639314",
            "telephone_number": "530-308-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5203 SOUNDSIDE DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325639314",
            "telephone_number": "530-308-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY LEBLEU MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-11",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "LEBLEU",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-308-3462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "C53588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.