Organization Active NPI

GB Medical PLLC

  • Pediatric Adolescent Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1801804877
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
166446 Issued in NY
Legal business name
GB MEDICAL PLLC
Practice address
2520 Ocean Ave
Brooklyn, NY 11229-3916
Phone
(718) 769-3667
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gregory Bard, MD
Title
Doctor
Phone
(718) 769-3667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X 166446 NY Primary

Addresses

Primary practice location

2520 Ocean Ave
Brooklyn, NY 11229-3916

Mailing address

2520 Ocean Ave
Brooklyn, NY 11229-3916
Phone (718) 769-3667

National Provider Directory

National Provider Directory

Locations

2520 Ocean Ave
Brooklyn, NY 11229
Phone (718) 769-3667

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801804877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293916",
            "telephone_number": "718-769-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293916",
            "telephone_number": "718-769-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GB MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARD",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "718-769-3667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "166446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.