Individual provider Active NPI

Gregory Gullung, MD

  • Orthopaedic Surgery Physician
  • Birmingham, AL
National Provider Identifier
1508075144
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
27800 Issued in AL
Practice address
1801 Gadsden Hwy
Birmingham, AL 35235-3134
Phone
(205) 838-3900
Fax
(205) 838-3906
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 27800 AL Primary

Addresses

Primary practice location

1801 Gadsden Hwy
Birmingham, AL 35235-3134

Mailing address

1801 Gadsden Hwy
Birmingham, AL 35235-3134
Phone (205) 838-3900

Other identifiers 2

IdentifierTypeStateIssuer
00720346MedicaidMS
2136917MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110630000199 AL Practitioner - Orthopedic SurgeryPractitioner - Physical Medicine and Rehabilitation 6002001393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Physical Medicine and Rehabilitation
Education
Louisiana State University School of Medicine in New Orleans, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champion Sports Medicine Birmingham, LLCGroup PAC ID 4880082429, 180 clinicians

Practice addresses (Care Compare)

118 Mars Hill Rd
Hoover, AL 35244-3904
Phone (205) 228-7600

1801 Gadsden Hwy
Birmingham, AL 35235-3134
Phone (205) 838-3900

592 Fieldstown Rd
Gardendale, AL 35071-3414
Phone (205) 608-3606

Hospital & facility affiliations

  • Grandview Medical Center Hospital, Birmingham, AL, CCN 010104

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion418
Laminectomy or laminotomy (partial removal of spine bones)72
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Orthopedic Spine & Sports Medicine Associates P C Orthopaedic Surgery CurrentSince Jun 1, 2011 Accepting new patients

Locations

52 Medical Park Dr E
Ste 115
Birmingham, AL 35235
Phone (205) 838-3900

1801 Gadsden Hwy
Birmingham, AL 35235
Phone (205) 228-7600

118 Mars Hill Rd
Hoover, AL 35244
Phone (205) 228-7600

1021 Montgomery Hwy
Vestavia Hills, AL 35216
Phone (205) 421-4803

Organizations & group practices 2

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 1

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1508075144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 GADSDEN HWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353134",
            "telephone_number": "205-838-3900",
            "fax_number": "205-838-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 GADSDEN HWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353134",
            "telephone_number": "205-838-3900",
            "fax_number": "205-838-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLUNG",
        "first_name": "GREGORY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "27800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00720346",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2136917",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.