Provider Demographics
NPI:1801337613
Name:GREG BARME MD INC.
Entity type:Organization
Organization Name:GREG BARME MD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:BARME
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-640-2081
Mailing Address - Street 1:1401 AVOCADO AVE
Mailing Address - Street 2:#608
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-7720
Mailing Address - Country:US
Mailing Address - Phone:949-640-2081
Mailing Address - Fax:949-640-1909
Practice Address - Street 1:1401 AVOCADO AVE
Practice Address - Street 2:#608
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-7720
Practice Address - Country:US
Practice Address - Phone:949-640-2081
Practice Address - Fax:949-640-1909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-13
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA79030208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1295700235OtherNPI INDIVIDUAL