Basic Information
| Provider Information | |||||||||
| NPI: | 1730167255 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BIGLER | ||||||||
| FirstName: | GREGORY | ||||||||
| MiddleName: | THARIN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9499 W CHARLESTON BLVD | ||||||||
| Address2: | STE 200 | ||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891177150 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7029339393 | ||||||||
| FaxNumber: | 7029336789 | ||||||||
| Practice Location | |||||||||
| Address1: | 9499 W CHARLESTON BLVD | ||||||||
| Address2: | STE 200 | ||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891177150 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7029339393 | ||||||||
| FaxNumber: | 7029336789 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/04/2006 | ||||||||
| LastUpdateDate: | 07/12/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207XX0005X | 6243 | NV | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Sports Medicine |
ID Information
| ID | Type | State | Issuer | Description | 4258506 | 01 | AETNA | OTHER | CC6820 | 01 | BXBS | OTHER | P00149474 | 01 | R.R. MEDICARE | OTHER | 2019162 | 05 | NV | MEDICAID | CP788Z PTAN | 01 | NV | MEDICARE PTAN | OTHER |