Gregory Karl Bielefeld, D.P.
Individual provider Active NPI Pharmacist · Sellersburg, IN
NPI 1306146147 · NPPES record last updated Oct 27, 2010
Key facts
- NPI
- 1306146147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26023784A (IN)
- Practice address
- 7505 State Road 311
Sellersburg, IN 47172-1815 - Phone
- (812) 246-5405
- NPI assigned
- Oct 27, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26023784A | IN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26023784A | IN | Yes |
Addresses
Primary practice location
7505 State Road 311
Sellersburg, IN 47172-1815
Mailing address
7505 State Road 311
Sellersburg, IN 47172-1815
Phone (812) 246-5405
Other providers in Sellersburg, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.