Individual ProviderGregg Arthur DelisleObstetrics & GynecologyAllopathic & Osteopathic PhysiciansPractice Address910 Adams St SE, Suite 300, Huntsville, AL 35801-3730(256) 533-7420PECOS EnrollmentBased on the most recent information from CMS, provider Gregg Arthur Delisle does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1104883800Provider TypeIndividualFull NameDelisle, Gregg ArthurCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date4/27/2006Last Updated10/30/2007Contact InformationPractice LocationPractice Address910 Adams St SE, Suite 300, Huntsville, AL 35801-3730Phone(256) 533-7420Fax(256) 536-4109Mailing LocationMailing Address910 Adams St SE, Suite 300, Huntsville, AL 35801-3730Phone(256) 533-7420Fax(256) 536-4109Provider TaxonomiesCodeDescriptionLicenseCode207V00000XPrimaryDescriptionObstetrics & GynecologyAllopathic & Osteopathic PhysiciansLicense8858AlabamaProvider IdentifiersIDDescriptionIssuerIDG423DescriptionOtherIssuerMEDICAREAlabamaID51010504DescriptionOtherIssuerBLUE CROSS BLUE SHIELDAlabamaID51022683DescriptionOtherIssuerBLUE CROSS BLUE SHIELDAlabamaID51032724DescriptionOtherIssuerBLUE CROSS BLUE SHIELDAlabamaIDD084DescriptionOtherIssuerMEDICAREAlabamaIDE706DescriptionOtherIssuerMEDICAREAlabama