Active NPI
Gordon Leroy White, MD
- Neurological Surgery Physician
- Austin, TX
National Provider Identifier
1013983121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- H1331
- Practice address
- 1600 W 38TH Street
Suite 418
Austin, TX 78731-6407 - Phone
- (512) 467-8596
- Fax
- (512) 454-6876
- NPI assigned
- Feb 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | H1331 | TX | Primary |
Addresses
Primary practice location
1600 W 38TH Street
Suite 418
Austin, TX 78731-6407
Mailing address
1600 W 38TH St
Suite 418
Austin, TX 78731-6400
Phone (512) 467-8596
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110304601 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081201000213 | TX | Practitioner - Neurosurgery | 6305906983 | Practice locations: Austin, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1600 W 38TH St
Suite 418
Austin, TX 78731-6412
Phone (512) 467-8596
Hospital & facility affiliations
- St David'S Medical Center
- North Austin Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H1331 | TX | MD | Neurological Surgery Physician |
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Austin, TX
- NPI 1629021845
-
- General Acute Care Hospital
- Austin, TX
- NPI 1720033947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418860800000",
"number": "1013983121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 W 38TH ST",
"address_2": "SUITE 418",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316400",
"telephone_number": "512-467-8596",
"fax_number": "512-454-6876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W 38TH STREET",
"address_2": "SUITE 418",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316407",
"telephone_number": "512-467-8596",
"fax_number": "512-454-6876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "GORDON",
"middle_name": "LEROY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2014-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "TX",
"license": "H1331",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110304601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.