Gregg Alexander Bendrick, MD

Primary specialty

Aerospace Medicine PhysicianTaxonomy code 2083A0100X

License

G75897 Issued in CA

Practice address

4822 McKay Ave
Nasa Dryden Flight Research Center
Edwards, CA 93523

Phone

(661) 276-2258

Fax

(661) 276-2392

NPI assigned

Apr 2, 2010

Last updated

Apr 2, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1270166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270166400000",
    "number": "1427373398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 273",
            "address_2": "NASA DRYDEN FLIGHT RESEARCH CENTER M/S 4822",
            "city": "EDWARDS",
            "state": "CA",
            "postal_code": "935230273",
            "telephone_number": "661-276-2258",
            "fax_number": "661-276-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4822 MCKAY AVE",
            "address_2": "NASA DRYDEN FLIGHT RESEARCH CENTER",
            "city": "EDWARDS",
            "state": "CA",
            "postal_code": "93523",
            "telephone_number": "661-276-2258",
            "fax_number": "661-276-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDRICK",
        "first_name": "GREGG",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-02",
        "last_updated": "2010-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "CA",
            "license": "G75897",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "G75897",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Stephanie Blanco Adriatico
• Ahmad Belal Al-Zughoul, MD
• Laquisha Grace Banks
• Jahnpayne Bowling
• Erin Carey
• Susan A. Cartwright, LCSW, DCSW
• Maurice Gerard Chen, M.D.
• Kenet M Cochrane

• Aerospace Medicine Physician in Edwards, CA
• Providers in Edwards, CA by specialty
• Aerospace Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2010; 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.