Provider Demographics
NPI:1558525766
Name:GREGG, HERBERT ELDON (MD)
Entity Type:Individual
Prefix:MR
First Name:HERBERT
Middle Name:ELDON
Last Name:GREGG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3 MARYLAND FARMS STE 200
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5005
Mailing Address - Country:US
Mailing Address - Phone:615-345-5400
Mailing Address - Fax:615-345-5405
Practice Address - Street 1:91 WEST STREET
Practice Address - Street 2:
Practice Address - City:LENOX
Practice Address - State:MA
Practice Address - Zip Code:01240
Practice Address - Country:US
Practice Address - Phone:800-348-4565
Practice Address - Fax:413-496-6842
Is Sole Proprietor?:No
Enumeration Date:2008-07-16
Last Update Date:2018-12-20
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Provider Licenses
StateLicense IDTaxonomies
MA2370832084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME117447OtherFL STATE LICENSE