Provider Demographics
NPI:1003934712
Name:BUHLER, GREGORY C (DO)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:C
Last Name:BUHLER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:17600 ENDICOTT RD
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:MO
Mailing Address - Zip Code:64060-9316
Mailing Address - Country:US
Mailing Address - Phone:816-645-6414
Mailing Address - Fax:816-628-1755
Practice Address - Street 1:8675 COLLEGE BLVD
Practice Address - Street 2:#150
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1946
Practice Address - Country:US
Practice Address - Phone:913-599-2440
Practice Address - Fax:913-599-5252
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO1069492083X0100X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO248547622Medicaid
MO0008023Medicare ID - Type Unspecified
MOG87324Medicare UPIN