Gregory Van Dubay, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

AL71 Issued in AL

Practice address

875 Friendship Rd Ste J
Tallassee, AL 36078-1256

Phone

(334) 283-4178

Fax

(334) 283-2190

NPI assigned

Dec 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Central Alabama Foot Care, LLC Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Central Alabama Foot Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Tallassee, AL
  • NPI 1841468238

  Foot Surgery

  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1720146954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780367",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360780004",
            "telephone_number": "334-283-4178",
            "fax_number": "334-283-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 FRIENDSHIP RD STE J",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360781256",
            "telephone_number": "334-283-4178",
            "fax_number": "334-283-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBAY",
        "first_name": "GREGORY",
        "middle_name": "VAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AL",
            "license": "AL71",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1841468238",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051552056",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAL",
            "identifier": "515-12528",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "051552056",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CENTRAL ALABAMA FOOT",
            "last_name": "LLC",
            "middle_name": "CARE,",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sarah A Covington, CRNP
• Justin B Crain, RPT
• Brandi Criswell
• Nicole G Davis, NP
• Lara Dennis, RN, IBCLC
• Courtney Allison Dunlap, PHARM.D.
• Cameron Cannon Elliott, PT
• Engage Home Therapy LLC
• Maher Farah, MD
• Adrienne Bolan Goggans, CPNP-PC

• Foot Surgery Podiatrist in Tallassee, AL
• Providers in Tallassee, AL by specialty
• Foot Surgery Podiatrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.