Gregory M Fox, M.D.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

01044833A Issued in IN

Practice address

639 S Walker St
Suite E
Bloomington, IN 47403-2123

Phone

(812) 333-4000

Fax

(812) 333-0611

NPI assigned

Jan 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Indiana Specialty Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Bloomington, IN
  • NPI 1174777817
  NPD (past) Authorized official

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1740331263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 S WALKER ST",
            "address_2": "SUITE E",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032123",
            "telephone_number": "812-333-4000",
            "fax_number": "812-333-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 S WALKER ST",
            "address_2": "SUITE E",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032123",
            "telephone_number": "812-333-4000",
            "fax_number": "812-333-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "GREGORY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "IN",
            "license": "01044833A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa R. Foster, L.C.S.W.
• Kyle S Fouch, APRN
• Chloe Fox
• Damara Fox
• Diana Fox
• Kellen Fox, MS
• Misty Shea Fox
• Leslie Anne Foxlow, MD
• Jonathan Francis
• Colin Frank, PHARMD

• Sports Medicine (Orthopaedic Surgery) Physician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.