Dr. Gregory Peter Bambenek , MD
Specialist • Duluth, MN
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gregory Bambenek has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Gregory Bambenek, MD was a registered Specialist practicing in Duluth, MN. Throughout an active medical career spanning 19 years, Dr. Bambenek provided care at the practice location at 314 W SUPERIOR ST until profile deactivation on 2025-05-15.
Practice Location & Contact Primary Location
314 W Superior St
Ste 902
Duluth, MN 558021805
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Duluth, MN
Practicing in Duluth, MN (877 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Psychologist
Master of Arts, Licensed Psychologist
Social Worker - Clinical
Master of Social Work, Licensed Independent Clinical Social Worker
Psychologist
Master of Arts, Licensed Psychologist
Psychologist
Master of Arts, Licensed Psychologist
Social Worker - Clinical
Master of Social Work, Licensed Independent Clinical Social Worker
Clinical Neuropsychologist
Doctor of Philosophy (Ph.D.), Licensed Psychologist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 15, 2025
NPI status registered as active in NPPES database
Registered at 314 W SUPERIOR ST, STE 902, DULUTH, MN 558021805 (Tel: 2187274531)
Registered at 5130 LONDON RD, DULUTH, MN 558042400 (Tel: 2185256201)
Recorded as GREGORY BAMBENEK, MD
Specialist (License #23158 in MN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
5130 London Rd
Duluth, MN 558042400
Phone: 2185256201
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