Active NPI
Gregory T Walker, MD
- Urology Physician
- Bloomington, IN
National Provider Identifier
1619975851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 01033828A
- Practice address
- 1520 S Liberty Dr
Bloomington, IN 47403-5167 - Phone
- (812) 676-4300
- Fax
- (812) 676-4301
- NPI assigned
- Jul 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 01033828A | IN | Primary |
Addresses
Primary practice location
1520 S Liberty Dr
Bloomington, IN 47403-5167
Mailing address
PO Box 1329
Bloomington, IN 47402-1329
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100167040 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01033828A | IN | MD | Urology Physician |
Interoperability endpoints
- gwalker@yourcarecommunity.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451952000000",
"number": "1619975851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1329",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474021329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 S LIBERTY DR",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474035167",
"telephone_number": "812-676-4300",
"fax_number": "812-676-4301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "GREGORY",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2016-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IN",
"license": "01033828A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100167040",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.