Dr. Ian David Gregory, D.O.
Family Medicine in Jbsa Randolph, TX. Individual provider (NPI-1).
NPI number1790771210
StatusActive
Last updated in NPPESJan 25, 2026
Details
- NPI
- 1790771210
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ian David Gregory
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 20, 2005
- Certification date
- Jan 25, 2026
- Last updated
- Jan 25, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | DO223379 | OR | Yes |
| 207Q00000X | Family Medicine | 020030164A | IN |
Practice location
221 3rd St WJbsa Randolph, TX 78150-4800
Phone 201-652-8500
Mailing address
221 3rd St WJbsa Randolph, TX 78150-4800
Other practice locations
1501 Ne Medical Center Dr
Bend, OR 97701-6051
Bend, OR 97701-6051
Phone 541-382-4900
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