Individual
DR. GREGORY T. REVEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8402 HARCOURT RD STE 125, INDIANAPOLIS, IN 46260-2094
(317) 802-2000
Mailing address
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 802-2000
(317) 802-2170
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01056443
IN
207XX0801X
Orthopaedic Trauma Physician
Primary
01056443A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200381260
—
IN
Enumeration date
06/15/2006
Last updated
04/08/2026
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