Provider Demographics
NPI:1942270426
Name:KOVACS, GREGG R (DO)
Entity Type:Individual
Prefix:DR
First Name:GREGG
Middle Name:R
Last Name:KOVACS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 8TH ST W
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:ND
Mailing Address - Zip Code:58601-3951
Mailing Address - Country:US
Mailing Address - Phone:701-456-3819
Mailing Address - Fax:701-456-3815
Practice Address - Street 1:300 N 7TH ST
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-4439
Practice Address - Country:US
Practice Address - Phone:701-323-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND7231207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND13913OtherBCBS NORTH DAKOTA
ND20025696OtherRAILROAD MEDICARE
MT350987OtherMONTANA MEDICAID
ND18592Medicaid
MT350987OtherMONTANA MEDICAID
ND13913OtherBCBS NORTH DAKOTA