Individual provider Active NPI

Eric David Gegg, MD

  • Urology Physician
  • Columbia, MO
National Provider Identifier
1558046011
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
2023023569 Issued in MO
Practice address
1 Hospital Dr RM Mc301
Columbia, MO 65212-8690
Phone
(573) 882-1771
NPI assigned
Jun 21, 2023
Last updated
Jun 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 2023023569 MO Primary

Addresses

Primary practice location

1 Hospital Dr RM Mc301
Columbia, MO 65212-8690

Mailing address

1 Hospital Dr RM Mc301
Columbia, MO 65212-8690
Phone (573) 882-1771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20230706001731 MO Order and Referring Only - UrologyPractitioner - Urology 0042679227

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023023569MOMDUrology Physician

NPI Registry JSON

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1558046011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR RM MC301",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652128690",
            "telephone_number": "573-882-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR RM MC301",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652128690",
            "telephone_number": "573-882-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEGG",
        "first_name": "ERIC",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MO",
            "license": "2023023569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.