Active NPI
Greggory S Hurlbut, MD
- Family Medicine Physician
- Lincoln, NE
National Provider Identifier
1811004252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 15755
- Practice address
- 3201 Pioneers Blvd Ste 304
Lincoln, NE 68502-5963 - Phone
- (402) 483-2987
- Fax
- (402) 483-2987
- NPI assigned
- Aug 23, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 15755 | NE | Primary |
Addresses
Primary practice location
3201 Pioneers Blvd Ste 304
Lincoln, NE 68502-5963
Mailing address
3201 Pioneers Blvd Ste 304
Lincoln, NE 68502-5963
Phone (402) 483-2987
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47068394113 | Medicaid | NE | |
| 03262 | Other | NE | BCBS |
| 080028071 | Other | MEDICARE RAILROAD |
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 |
|---|---|---|---|
| 15755 | NE | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276128000000",
"number": "1811004252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 PIONEERS BLVD STE 304",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685025963",
"telephone_number": "402-483-2987",
"fax_number": "402-483-2987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 PIONEERS BLVD STE 304",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685025963",
"telephone_number": "402-483-2987",
"fax_number": "402-483-2987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURLBUT",
"first_name": "GREGGORY",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2010-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "15755",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47068394113",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "03262",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "080028071",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.