Active NPI
Gregory Pippert MD, PA
- Specialist
- Maple Grove, MN
National Provider Identifier
1992947501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 37489
- Legal business name
- GREGORY PIPPERT MD, PA
- Doing business as
- BodyLogicMD of Maple Grove
- Practice address
- 7270 Forestview LN N
Suite 225
Maple Grove, MN 55369-5546 - Phone
- (866) 542-4932
- Fax
- (866) 542-6378
- NPI assigned
- Mar 27, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gregory C Pippert, M.D.
- Title
- Director
- Phone
- (866) 542-4932
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 37489 | MN | Primary |
Addresses
Primary practice location
7270 Forestview LN N
Suite 225
Maple Grove, MN 55369-5546
Mailing address
4629 Pine Point Rd
Sartell, MN 56377-9748
Phone (866) 542-4932
Other names 1
- BodyLogicMD of Maple Grove
National Provider Directory
National Provider DirectoryLocations
7270 Forestview Ln N
Ste 225
Maple Grove, MN 55369
Phone (320) 252-0094
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Maple Grove, MN
- NPI 1124091731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238112000000",
"number": "1992947501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4629 PINE POINT RD",
"city": "SARTELL",
"state": "MN",
"postal_code": "563779748",
"telephone_number": "866-542-4932",
"fax_number": "320-267-7968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7270 FORESTVIEW LN N",
"address_2": "SUITE 225",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553695546",
"telephone_number": "866-542-4932",
"fax_number": "866-542-6378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREGORY PIPPERT MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-27",
"last_updated": "2009-03-27",
"status": "A",
"authorized_official_last_name": "PIPPERT",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "866-542-4932",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MN",
"license": "37489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BodyLogicMD of Maple Grove",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.