Dr Gregory Allen Riddle, MD is a medicare enrolled "Preventive Medicine - Aerospace Medicine" physician in Grand Forks Afb, North Dakota. His current practice location is
1599 Jones Street, Grand Forks Afb, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 747-5326.
Dr Gregory Allen Riddle is licensed to practice in Alabama (license number 19406) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043398456.
Physician's Profile
| Full Name | Dr Gregory Allen Riddle |
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| Gender | Male |
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| Speciality | Preventive Medicine - Aerospace Medicine |
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| Location | 1599 Jones Street, Grand Forks Afb, North Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043398456
- Provider Enumeration Date: 11/02/2006
- Last Update Date: 12/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 0648213454
- Enrollment ID: I20110913000324
Medical Identifiers
Medical identifiers for Dr Gregory Allen Riddle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1043398456 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 19406 (Alabama) | Secondary |
| 2083A0100X | Preventive Medicine - Aerospace Medicine | 19406 (Alabama) | Primary |
| 207QS0010X | Family Medicine - Sports Medicine | 19406 (Alabama) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gregory Allen Riddle is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Gregory Allen Riddle, MD 1599 Jones Street, Grand Forks Afb, ND 58205 Ph: (701) 747-5326 | Dr Gregory Allen Riddle, MD 1599 Jones Street, Grand Forks Afb, ND 58205 Ph: (701) 747-5326 |
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