Provider Demographics
NPI:1932257169
Name:PRIER, GREGORY ALAN (DO)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:ALAN
Last Name:PRIER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:21350 W 153RD ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-5413
Mailing Address - Country:US
Mailing Address - Phone:913-322-4950
Mailing Address - Fax:
Practice Address - Street 1:4300 BRENNER DR
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66104-1163
Practice Address - Country:US
Practice Address - Phone:913-334-0294
Practice Address - Fax:913-825-6481
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDOS10842084P0800X
IL036-1147302084P0800X
CA20A94322084P0800X
KS05-430452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIDOS1084OtherMDX HAWAII
HI852961OtherUNIVERSITY HEALTH ALLIANC
HI0000257352OtherHMSA-QUEST
HI0000257352OtherHMSA
KS201287210AMedicaid
HI57263701OtherALOHACARE
HI57263701Medicaid
HI852961OtherUNIVERSITY HEALTH ALLIANC