Gregory Edward Bauman, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901020416 Issued in MI

Practice address

8383 M 139
Berrien Springs, MI 49103-9001

Phone

(269) 471-4055

NPI assigned

May 30, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Berrien Dental PLC

  dba Berrien Dental

  • Dentist
  • Berrien Springs, MI
  • NPI 1003425513
  NPD

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

{
    "created_epoch": "1306713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1972897627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8383 M 139",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491039001",
            "telephone_number": "269-471-4055",
            "fax_number": "269-471-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8383 M 139",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491039001",
            "telephone_number": "269-471-4055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 Comings Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MI",
            "postal_code": "490851942",
            "country_code": "US",
            "telephone_number": "269-983-4311",
            "fax_number": "269-983-4985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUMAN",
        "first_name": "GREGORY",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-30",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN DENTAL LICENSE",
            "identifier": "2901020416",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Austin Lee Andersen, DC
• Julian Anderson-Martin, MA, LLPC, LMHC (CND)
• Andrea R Beckford DDS Mba PLLC (University Family Dental Studio)
• Amita Bairagee
• Eric Michael Balsis, D.D.S.
• Elizabeth Laird Baumann, LCSW
• Andrea R Beckford, DDS
• William Lamonte Bermeo, MD
• Berrien County Intermediate School District
• Berrien Dental PLC (Berrien Dental)

• Dentist in Berrien Springs, MI
• Providers in Berrien Springs, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.