Provider Demographics
NPI:1053323907
Name:HIGGINS, GREGORY LEE (MD)
Entity type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:LEE
Last Name:HIGGINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6201 TRAPPERS TRAIL RD
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99516-2406
Mailing Address - Country:US
Mailing Address - Phone:541-941-5104
Mailing Address - Fax:
Practice Address - Street 1:800 E LYNN MARTIN DR
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645-6785
Practice Address - Country:US
Practice Address - Phone:907-861-8818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKMEDS6026207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK8ED911Medicare UPIN
AK8ED912Medicare UPIN