Gregory S Funk, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

DO58 Issued in AL

Practice address

3849 Gulf Shores Pkwy
Suite 9
Gulf Shores, AL 36542

Phone

(251) 968-2441

Fax

(251) 968-5555

NPI assigned

Oct 10, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2020 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1881682284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2029",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "36547",
            "telephone_number": "251-968-2441",
            "fax_number": "251-968-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3849 GULF SHORES PKWY",
            "address_2": "SUITE 9",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "36542",
            "telephone_number": "251-968-2441",
            "fax_number": "251-968-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "GREGORY",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "D058",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "DO58",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "511 22924",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Sean Ferrell, D.D.S.
• Lisa Ellen Field, CRNP
• Foley Clinic Corp
• Randolph Nigel Freeman
• Joseph R Fritchley, LLMSW
• Lindsay Rae Garner, RN
• General Practice, P.C.
• Verushka Greer, CRNP
• GS Pharmacy LLC (Gulf Shores Family Pharmacy)
• Gulf Coast Cancer Center

• General Practice Physician in Gulf Shores, AL
• Providers in Gulf Shores, AL by specialty
• General Practice Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.