Jacob Greuel MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

27744 Issued in AL

Legal business name

JACOB GREUEL MD PC

Practice address

1715 N Bunner St
Foley, AL 36535-2229

Phone

(251) 955-1030

Fax

(251) 955-5048

NPI assigned

Jul 17, 2008

Last updated

Nov 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacob V Greuel, MD

Title

President

Phone

(251) 955-1030

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1902060049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 N BUNNER ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352229",
            "telephone_number": "251-955-1030",
            "fax_number": "251-955-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 N BUNNER ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352229",
            "telephone_number": "251-955-1030",
            "fax_number": "251-955-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB GREUEL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "GREUEL",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-955-1030",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "27744",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "27744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902060049",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Foley, AL
• Providers in Foley, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.