Individual provider Active NPI

Gregory Bret Hamilton, D.C.

  • Chiropractor
  • Clarkston, MI
National Provider Identifier
1720085830
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004964 Issued in MI
Practice address
7180 Dixie Hwy
Clarkston, MI 48346-2014
Phone
(248) 625-7690
Fax
(248) 625-7140
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301004964 MI Primary

Addresses

Primary practice location

7180 Dixie Hwy
Clarkston, MI 48346-2014

Mailing address

7180 Dixie Hwy
Clarkston, MI 48346-2014
Phone (248) 625-7690

Other identifiers 4

IdentifierTypeStateIssuer
OF33549OtherMIBCBS
P91716OtherBCN
01-009167OtherMIHEALTH PLUS
950F35013 0OtherBCBSM

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

State licenses

LicenseStateTypeSpecialty
2301004964MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Chiropractic Clinic LLC Chiropractor CurrentSince Sep 6, 1984 Accepting new patients

Locations

7180 Dixie Hwy
Clarkston, MI 48346
Phone (248) 625-7690

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.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1720085830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7180 DIXIE HWY",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462014",
            "telephone_number": "248-625-7690",
            "fax_number": "248-625-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7180 DIXIE HWY",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462014",
            "telephone_number": "248-625-7690",
            "fax_number": "248-625-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "GREGORY",
        "middle_name": "BRET",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "OF33549",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "P91716",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "01-009167",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "950F35013 0",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.