Individual provider Active NPI

Gregory J Bretz, PA

  • Physician Assistant
  • Johnson City, NY
National Provider Identifier
1467418939
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
008981 Issued in NY
Practice address
32-36 Marrison Street
Johnson City, NY 13790
Phone
(607) 763-6104
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 008981 NY Primary

Addresses

Primary practice location

32-36 Marrison Street
Johnson City, NY 13790

Mailing address

2555 Ponce de Leon Blvd
4TH Floor
Coral Gables, FL 33134
Phone (305) 702-5135

Other identifiers 1

IdentifierTypeStateIssuer
02356187MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060714000167 NY Practitioner - Physician Assistant 4880607860 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

33 -57 Harrison St
Johnson City, NY 13790-2107
Phone (607) 763-6101

54 Main St
Candor, NY 13743-1619
Phone (607) 659-7272

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
86.74
Promoting interoperability
99
Improvement activities
40
Cost
70.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
8981NYMDPsychologist
008981NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chenango Memorial Hospital Inc CurrentSince Jul 26, 2022 Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Apr 3, 2014 Accepting new patients
Chenango Memorial Hospital Inc CurrentSince Jul 26, 2022 Accepting new patients
United Medical Associates PC CurrentSince Apr 3, 2014 Accepting new patients
Chenango Memorial Hospital, Inc. Physician Assistant Past Accepting new patients

Locations

1 Chenango BRG Rd
Binghamton, NY 13901

91 Chenango Bridge Rd
Binghamton, NY 13901
Phone (607) 648-4151

10-42 Mitchell Ave
Binghamton, NY 13903
Phone (607) 762-2468

53 Pine St
Deposit, NY 13754
Phone (607) 467-4195

1302 E Main St
Endicott, NY 13760
Phone (607) 754-7171

30 Harrison St
Ste 102
Johnson City, NY 13790
Phone (607) 729-7082

52 Harrison St
Johnson City, NY 13790
Phone (607) 729-8845

33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412

32-36 Harrison St
Johnson City, NY 13790
Phone (607) 217-1021

4 Newton Ave
Norwich, NY 13815
Phone (607) 337-4139

179 N Broad St
Norwich, NY 13815
Phone (607) 337-4111

179 River St
Oneonta, NY 13820
Phone (607) 432-8477

42 W Main St
Owego, NY 13827
Phone (607) 687-0350

44 Pearl St W
Sidney, NY 13838
Phone (607) 563-3512

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1467418939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 PONCE DE LEON BLVD",
            "address_2": "4TH FLOOR",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33134",
            "telephone_number": "305-702-5135",
            "fax_number": "305-441-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32-36 MARRISON STREET",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "13790",
            "telephone_number": "607-763-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRETZ",
        "first_name": "GREGORY",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "008981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02356187",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, NY

Sources for this page

Verify at the official NPI Registry.