NPIMap

Individual provider Active NPI

Gregory A Imbrie, MD

  • Internal Medicine Physician
  • Dover, NH
National Provider Identifier
1982871075
Registry record updated Nov 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17168 Issued in NH
Practice address
19 Old Rollinsford Road
Building B
Dover, NH 03820-2827
Phone
(603) 516-4265
Fax
(603) 740-2173
NPI assigned
May 8, 2008
Last updated
Nov 11, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 243734 MA
Internal Medicine Physician 207R00000X 17168 NH Primary

Addresses

Primary practice location

19 Old Rollinsford Road
Building B
Dover, NH 03820-2827

Mailing address

789 Central Avenue
Dover, NH 03820-2526
Phone (603) 516-4265

Other identifiers 1

IdentifierTypeStateIssuer
3101463MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150915001557 NH Practitioner - Cardiovascular Disease (Cardiology) 6901072842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Boston University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

19 Old Rollinsford Rd
BLDG B
Dover, NH 03820-2807
Phone (603) 516-4265

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting92
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17168NHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Physician Corporation CurrentSince Aug 17, 2015 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Aug 17, 2015 Accepting new patients
Wentworth Douglass Hospital Current Accepting new patients
WDPC Orthopedics LLC Current Accepting new patients
Westchester Neurological Consultant PC Past Accepting new patients

Locations

19 Old Rollinsford Rd
Bldg B
Dover, NH 03820
Phone (603) 516-4265

750 Central Ave
Ste Q
Dover, NH 03820
Phone (603) 742-6030

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

789 Central Ave
Ofc
Dover, NH 03820
Phone (603) 740-4478

67 Corporate Dr
Ste 200
Portsmouth, NH 03801
Phone (603) 431-5529

3 Terrascape Pkwy
Somersworth, NH 03878
Phone (603) 609-6726

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: imbrie.gregory.wdh@direct.partners.masshiway.net

Organizations & group practices 5

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

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447200000000",
    "number": "1982871075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVENUE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "603-516-4265",
            "fax_number": "603-740-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 OLD ROLLINSFORD ROAD",
            "address_2": "BUILDING B",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202827",
            "telephone_number": "603-516-4265",
            "fax_number": "603-740-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMBRIE",
        "first_name": "GREGORY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-08",
        "last_updated": "2015-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "243734",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "17168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3101463",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.