Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1407072416 Deactivated / Inactive NPI Male Practitioner

Dr. Gregory P Park , MD

General Practice • New Bern, NC

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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 Park has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 18, 2007
NPI Deactivation Date May 09, 2017
Total Practice Duration ~10 Years of Practice (2007 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Gregory Park, MD was a registered General Practice practicing in New Bern, NC. Throughout an active medical career spanning 10 years, Dr. Park provided care at the practice location at 107 JUBILEE PL until profile deactivation on 2017-05-09.

Practice Location & Contact Primary Location

Practice Address

107 Jubilee Pl

New Bern, NC 285608950

Telephone 2524449908
Fax 2524449908

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in New Bern, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
2 Specialists

Practicing in New Bern, NC (265 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NC 9400608

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 09, 2017

Record deactivated on May 09, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 107 JUBILEE PL, NEW BERN, NC 285608950 (Tel: 2524449908)

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Updated Business Mailing Address July 08, 2007

Registered at 107 JUBILEE PLACE, NEW BERN, NC 285608950 (Tel: 2524449908)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GREGORY PARK, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #9400608 in NC)

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Initial NPI Registration & Enumeration April 18, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407072416
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2007
Last Update: July 08, 2007
Deactivation Date: May 09, 2017

Mailing Address

107 Jubilee Place

New Bern, NC 285608950

Phone: 2524449908

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.