Provider Demographics
NPI:1528167962
Name:GREGG, WILLIAM (MD, MPH)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:GREGG
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 PARK PLZ
Mailing Address - Street 2:BLDG 2-4W
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-6527
Mailing Address - Country:US
Mailing Address - Phone:615-344-2802
Mailing Address - Fax:
Practice Address - Street 1:1 PARK PLZ
Practice Address - Street 2:BLDG 2-4W
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-6527
Practice Address - Country:US
Practice Address - Phone:615-344-2802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD34335207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I36946Medicare UPIN