DR. MICHAEL BRUCE GENTRY (NPI# 1730182064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730182064 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL BRUCE GENTRY |
| Credential | D.O. |
| Practice Address |
107 Venture Ct Greenwood SC 29649-8558 |
| Practice Telephone | 8645386565 |
| Practice Fax Number | 8645386566 |
| Mailing Telephone | 8645386565 |
| Mailing Fax Number | 8645386566 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2011-03-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 0392 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 003926 | 05 | |
| SC | RAILROAD MEDICARE | P00015070 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295288355 | Michael Asher Gentry | Social Worker | 7101 E Orange Blossom Ln, Paradise Valley, AZ 85253-7044 | 2016-07-25 |
| 1366407959 | Michael William Gentry | Optometrist | Lhc Optometry, 5979 Desert Storm Ave., Fort Campbell, KY 42223 | 2006-04-18 |
| 1518948256 | Michael G Gentry | Chiropractor | 616 Hebron Rd, Heath, OH 43056-1444 | 2005-11-09 |
| 1598007411 | Michael James Gentry | Obstetrics & Gynecology | 510 S South St, Mount Airy, NC 27030 | 2013-03-18 |
| 1043509250 | Michael Benjamin Gentry | Pathology | 3535 Southern Blvd, Dayton, OH 45429 | 2011-03-29 |
| 1013196575 | Michael D Gentry | Radiology | 400 N Pepper Ave, Colton, CA 92324-1819 | 2007-10-31 |
| 1588676886 | Michael Gentry | Physical Therapist | 9589 Lincoln Hwy, Suite 2, Bedford, PA 15522-3708 | 2006-08-13 |
| 1477577633 | Michael Allen Gentry | Dermatology | 1722 S Glenstone Ave, Suite K, Springfield, MO 65804-1519 | 2006-07-27 |
| Street Address |
107 VENTURE CT |
| City | GREENWOOD |
| State | SC |
| Zip Code | 29649-8558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346784386 | Birth Connection LLC | Advanced Practice Midwife | 107 Venture Ct, Greenwood, SC 29649-8558 | 2016-12-09 |
| 1942631254 | Janet Goff | Advanced Practice Midwife | 107 Venture Ct, Greenwood, SC 29649-8558 | 2013-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346895455 | Prathamkumar Rakeshkumar Patel | Pharmacist | 508 By-pass 72 Northwest, Greenwood, SC 29649 | 2019-08-06 |
| 1821650284 | Lindsay Kay Fuqua | Dentist | 1302 Sc-72 Business, Greenwood, SC 29649 | 2019-07-05 |
| 1457830291 | Stephanie Dixon | Speech-Language Pathologist | 1075 Bypass 25 Ne, Greenwood, SC 29649 | 2018-08-13 |
| 1891286613 | Tylan Creek Family Dentistry Greenwood | Clinic/Center | 3710 Highway 221- 72e, Greenwood, SC 29649 | 2018-05-29 |
| 1225549090 | Tekola Moore | Registered Nurse | 150 By-pass 225, Greenwood, SC 29649 | 2017-10-19 |
| 1629588520 | Adrienne Jackson | Prosthetist | 2005 Old Laurens Rd, Greenwood, SC 29649 | 2017-10-05 |
| 1982141115 | Debras Hair Studio LLC | Prosthetic/Orthotic Supplier | 1516 Bypass 72 Ne Ste D, Greenwood, SC 29649 | 2017-01-25 |
| 1225406960 | Jim Nasim | Dentist | 101 West Durst Avenue, Greenwood, SC 29649 | 2015-09-11 |
| 1174905806 | Social Change Initiative | Case Management | 1402 C Hwy 72 West, Greenwood, SC 29649 | 2015-06-18 |
| 1346661683 | Cambridge Dental of Greenwood, LLC | Clinic/Center | 1302 Sc Hwy 72 W Business, Greenwood, SC 29649 | 2014-01-03 |
| Find all providers in zip 29649 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609124494 | Martin Thomas Feeney | Obstetrics & Gynecology | 4094 Rockingchair Rd, Greenwood, IN 46142-8360 | 2012-08-27 |
| 1376843037 | Self Medical Group | Obstetrics & Gynecology | 107 Venture Court, Greenwood, SC 29649-8558 | 2010-10-28 |
| 1982786745 | Ems Clinic | Obstetrics & Gynecology | 1509 Strong Ave, Greenwood, MS 38930 | 2006-10-20 |
| 1073695839 | Greenwood Clinic for Women Pllc | Obstetrics & Gynecology | 1604 Leflore Ave, Greenwood, MS 38930 | 2006-10-20 |
| 1619925294 | John Andrew Haws Russell | Obstetrics & Gynecology | 106 Liner Dr, Greenwood, SC 29646 | 2006-05-05 |
| 1154386019 | John Gary Eichelberger | Obstetrics & Gynecology | 106 Liner Drive, Greenwood, SC 29646 | 2006-04-20 |
| 1871562231 | Rana Skaf | Obstetrics & Gynecology | 203 9th St, Greenwood, MS 38930-4015 | 2006-03-16 |
| 1053311001 | Tessa M Asdell | Obstetrics & Gynecology | 533 E County Line Rd, Suite 102, Greenwood, IN 46143-1048 | 2005-07-29 |
| 1912900051 | Debra Larkins | Obstetrics & Gynecology | 333 E County Line Rd, Suite B, Greenwood, IN 46143-1046 | 2005-05-23 |
| 1346697992 | Jenna Rae Voirol | Obstetrics & Gynecology | 533 E County Line Rd Ste 102, Greenwood, IN 46143-1074 | 2016-05-24 |
| Find all providers in GREENWOOD | ||||
Please comment or provide details below to improve the information on DR. MICHAEL BRUCE GENTRY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.