Gregg M Hallbauer, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L2299 Issued in TX

Practice address

4015 Interstate 45 N
Conroe, TX 77304-4901

Phone

(936) 756-6631

NPI assigned

Jul 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Privia Medical Group Gulf Coast PLLCGroup PAC ID 4688999022, 511 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Houston Healthcare Conroe Hospital, Conroe, TX, CCN 450222
• Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122
• Aspire Hospital Hospital, Conroe, TX, CCN 670093
• Huntsville Memorial Hospital Hospital, Huntsville, TX, CCN 450347

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gregg.hallbauer.1@8042.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Privia Medical Group Gulf Coast, PLLC

  • Obstetrics & Gynecology Physician
  • Houston, TX
  • NPI 1578969465
  Medicare reassignment Care Compare group NPD
• Privia Medical Group Gulf Coast PLLC

  • Interventional Pain Medicine Physician
  • San Antonio, TX
  • NPI 1457167033
  NPD
• Lone Star Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Magnolia, TX
  • NPI 1710857131
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Aspire Hospital, LLC

  • Psychiatric Hospital
  • Conroe, TX
  • NPI 1093955296
  Care Compare affiliation
• Aspire Hospital, LLC

  • General Acute Care Hospital
  • Conroe, TX
  • NPI 1114340080
  Care Compare affiliation
• Chca Conroe LP

  • General Acute Care Hospital
  • Conroe, TX
  • NPI 1962455816
  Care Compare affiliation
• Huntsville Community Hospital, Inc.

  • General Acute Care Hospital
  • Huntsville, TX
  • NPI 1245878990
  Care Compare affiliation
• Methodist Health Centers

  • General Acute Care Hospital
  • The Woodlands, TX
  • NPI 1184179194
  Care Compare affiliation

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1922007343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 INTERSTATE 45 N",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773044901",
            "telephone_number": "936-756-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 INTERSTATE 45 N",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773044901",
            "telephone_number": "936-756-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLBAUER",
        "first_name": "GREGG",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L2299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148219205",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE NUMBER",
            "identifier": "00J21A",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isil Halac, M.D.
• Melissa Fay Halford
• Amber Dawn Hall, LMSW
• Kimberly Hall, NP
• Gage Matthew Hallbauer, MD
• Sarah Elizabeth Hallbauer, MD
• Shelby Haller, OTR, OTD
• Jenna Leigh Hallmark, FNP
• Nico Halter, PT
• Brandi Halverson, LPC

• Family Medicine Physician in Conroe, TX
• Providers in Conroe, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.