Active NPI
Greg Urick
- Independent Duty Corpsman
- Bridgeport, CA
National Provider Identifier
1861785651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Duty Corpsman
- Practice address
- Sr 108 BLDG 3005
Dewert Branch Medical Clinic
Bridgeport, CA 93517 - Phone
- (760) 932-1460
- NPI assigned
- May 26, 2011
- 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 |
|---|---|---|---|---|
| Independent Duty Corpsman | 1710I1002X | Primary |
Addresses
Primary practice location
Sr 108 BLDG 3005
Dewert Branch Medical Clinic
Bridgeport, CA 93517
Mailing address
Sr 108 BLDG 3005
Dewert Branch Medical Clinic
Bridgeport, CA 93517
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306368000000",
"number": "1861785651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SR 108 BLDG 3005",
"address_2": "DEWERT BRANCH MEDICAL CLINIC",
"city": "BRIDGEPORT",
"state": "CA",
"postal_code": "93517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SR 108 BLDG 3005",
"address_2": "DEWERT BRANCH MEDICAL CLINIC",
"city": "BRIDGEPORT",
"state": "CA",
"postal_code": "93517",
"telephone_number": "760-932-1460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URICK",
"first_name": "GREG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-26",
"last_updated": "2011-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "1710I1002X",
"taxonomy_group": "",
"desc": "Military Health Care Provider, Independent Duty Corpsman",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.