Provider Demographics
NPI:1144482415
Name:COMFORT, GREGORY BIGHAM JR (MD)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:BIGHAM
Last Name:COMFORT
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5300 N MEADOWS DR STE 280
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-2546
Mailing Address - Country:US
Mailing Address - Phone:614-627-2000
Mailing Address - Fax:614-221-8869
Practice Address - Street 1:5300 N MEADOWS DR STE 280
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-2546
Practice Address - Country:US
Practice Address - Phone:614-627-2000
Practice Address - Fax:614-221-8869
Is Sole Proprietor?:No
Enumeration Date:2008-06-27
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.095451207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1144482415Medicaid