NPIMap

Individual provider Active NPI

Maurice Dubois Gregory Jr., M.D.

  • Pain Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1548278617
Registry record updated Nov 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
4894 Issued in NV
Practice address
2020 Goldring Ave
Suite 503
Las Vegas, NV 89106-4000
Phone
(702) 822-1356
Fax
(702) 877-1706
NPI assigned
Aug 4, 2006
Last updated
Nov 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 4894 NV
General Practice Physician 208D00000X 4894 NV
Pain Medicine Physician 208VP0000X 4894 NV Primary

Addresses

Primary practice location

2020 Goldring Ave
Suite 503
Las Vegas, NV 89106-4000

Mailing address

3395 S Jones Blvd
Suite 132
Las Vegas, NV 89146-6729
Phone (702) 822-1356

Other names 1

  • Maurice D. Gregory Jr. Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100415000768 NV Practitioner - Addiction MedicinePractitioner - Pain ManagementPractitioner - General Practice 5496882888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Addiction MedicineAlso: General Practice, Pain Management
Education
Meharry Medical College School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2020 Goldring Ave
Suite 503
Las Vegas, NV 89106-4061
Phone (702) 822-1356

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4894NVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Maurice D Gregory Jr M D a Professional Corporation Addiction Medicine CurrentSince Jan 25, 2010 Accepting new patients

Locations

2020 Wellness Way
Ste 503
Las Vegas, NV 89106
Phone (702) 822-1356

3395 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 437-9654

Organizations & group practices 1

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

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575072000000",
    "number": "1548278617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3395 S JONES BLVD",
            "address_2": "SUITE 132",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466729",
            "telephone_number": "702-822-1356",
            "fax_number": "702-877-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 GOLDRING AVE",
            "address_2": "SUITE 503",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064000",
            "telephone_number": "702-822-1356",
            "fax_number": "702-877-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "MAURICE",
        "middle_name": "DUBOIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2019-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NV",
            "license": "4894",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NV",
            "license": "4894",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NV",
            "license": "4894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAURICE",
            "last_name": "GREGORY",
            "middle_name": "D.",
            "suffix": "JR.",
            "credential": "M.D., P.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.