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Gregg M Ebersole, M.D.

Orthopaedic Surgery Physician in South Bend, IN · enumerated 2011 · practices at Beacon Medical Group, Inc..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093000366

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Registry record

Entity type Individual (Type 1)
Name Gregg M Ebersole
Credential M.D.
Sex Male
Practice address 100 Navarre Pl Ste 4440, South Bend, IN, 46601
Phone (574) 647-5300
Fax (574) 647-5305
Enumeration date Jun 15, 2011
Last updated in NPPES Apr 1, 2021

Taxonomy & licenses

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License 01079875A (IN) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
300013151 Medicaid IN -
261970087 Other IN MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Gregg Ebersole?
The National Provider Identifier (NPI) for Gregg Ebersole is 1093000366, a Type 1 (individual) record in the CMS NPPES registry.
Where does Gregg Ebersole practice?
The practice location on file with NPPES is in South Bend, IN. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-04-01.