Gregory H Colbert DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901001416 Issued in MI

Legal business name

GREGORY H COLBERT DPM

Practice address

436 W Lawrence Ave
Charlotte, MI 48813-1442

Phone

(517) 543-0505

NPI assigned

Jan 5, 2007

Reactivated

Jan 24, 2008

Organization subpart

No

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

Authorized official

Name

Gregory H Colbert, DPM

Title

President

Phone

(517) 543-0505

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1245388586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 W LAWRENCE AVE",
            "address_2": "PO BOX 735",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131442",
            "telephone_number": "517-543-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 W LAWRENCE AVE",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131442",
            "telephone_number": "517-543-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY H COLBERT DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-01-24",
        "deactivation_date": "2008-01-03",
        "reactivation_date": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-543-0505",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4706341",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Laurence Gadola, DDS
• Taylor Galbraith, PHARMD
• Elizabeth Gendernalik, OTR/L
• Lynda L Goeman, OD
• Great Lakes Family Dental Group-Charlotte, P.C.
• Erin M Griffith, NP-C
• Michelle Kay Guilford, MA, CCC-SLP
• Sarah Kathryn Guy
• Megan Hackbarth
• Debbie Haymowattee Hallak, DO

• Podiatrist in Charlotte, MI
• Providers in Charlotte, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.