Gregory a. Oberg, P.S.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

CH00000995 Issued in WA

Legal business name

GREGORY A. OBERG, P.S.

Practice address

604 Williams Blvd Ste a
Richland, WA 99354-3207

Phone

(509) 946-0631

Fax

(509) 946-0632

NPI assigned

Dec 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gregory A Oberg, DC, FACO

Title

Chiropractor

Phone

(509) 946-0631

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Korey Carleton, DC

  • Chiropractor
  • Richland, WA
  • NPI 1982235834

  WA

  Medicare reassignment NPD
• Mathew Richard Lucas, D.C.

  • Chiropractor
  • Richland, WA
  • NPI 1407178031
  NPD (past)

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1295919611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 WILLIAMS BLVD STE A",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993543207",
            "telephone_number": "509-946-0631",
            "fax_number": "509-946-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 WILLIAMS BLVD STE A",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993543207",
            "telephone_number": "509-946-0631",
            "fax_number": "509-946-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY A. OBERG, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "OBERG",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "509-946-0631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, FACO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "CH00000995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0227634",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Gray, ATC
• Steve Brigham Gray, CRNA
• Bradley R Green, MS, RDN, CD
• Candace C Green, M.D.
• Melinda P. Greene, RNFA
• Scott D Grewe, PH.D.
• Valerie Lynn Griffin, MA
• Douglas Edward Griffith, ARNP-C
• Patti Coyle Gronewald, RN
• Reuben James Grothaus, D.O.

• All providers in Richland, WA
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.