GREGORY EVAN FISHBERGER MD
NPI 1750136024
Student in an Organized Health Care Education/Training Program in Aurora, CO

Active since April 20, 2024PECOS Enrolled
12631 E 17TH AVE RM 5407, AURORA, CO 80045(303) 724-2683 Get Directions Write a Review

NPPES record last updated: April 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gregory Evan Fishberger Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREGORY EVAN FISHBERGER MD (NPI 1750136024) is an individual student in an organized health care education/training program in Aurora, Colorado, licensed in Colorado (TL.0010440) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750136024
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGREGORY EVAN FISHBERGERCredential: MD
Location Address12631 E 17TH AVE RM 5407Aurora, CO 80045-2527
Mailing Address12631 E 17th Ave Rm 5407Aurora, CO 80045-2527 · (303) 724-2683
Sole ProprietorNo
Enumeration DateApril 20, 2024
NPPES CertifiedApril 20, 2024
NPI 1750136024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in CO · TL.0010440
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
12631 E 17TH AVE RM 5407, Aurora, CO 80045

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Gregory Evan Fishberger Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE RM 5407
AURORA, CO 80045

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory Fishberger's NPI number?

The NPI number for Gregory Fishberger is 1750136024. It was assigned to this individual provider in the NPPES registry on April 20, 2024.

Where is Gregory Fishberger located?

Gregory Fishberger practices at 12631 E 17th Ave Rm 5407, Aurora, CO 80045. The listed phone number is (303) 724-2683.

What is Gregory Fishberger's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Gregory Fishberger enrolled in Medicare?

Yes. Gregory Fishberger is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gregory Fishberger was last updated on April 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.