Individual provider Active NPI

Osceola P. Gilbert III, M.D.

  • Specialist
  • Seneca, SC
National Provider Identifier
1033183124
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
11328 Issued in SC
Practice address
112 Surgical Blvd
Suite a
Seneca, SC 29672-6654
Phone
(864) 885-0608
Fax
(864) 885-0676
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 11328 SC Primary

Addresses

Primary practice location

112 Surgical Blvd
Suite a
Seneca, SC 29672-6654

Mailing address

811 Poplar Springs Rd
Westminster, SC 29693-3223

Other names 1

  • Dr. Pete Gilbert Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110105000877 SC Practitioner - General Surgery 1456540590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Medical University of South Carolina College of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oconee Surgery PAGroup PAC ID 2466641501, 2 clinicians

Practice addresses (Care Compare)

112 Surgical Blvd a
Seneca, SC 29672-6654
Phone (864) 885-0608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11328SCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Oconee Surgery, P.a. Specialist CurrentSince Jan 20, 1995 Accepting new patients

Locations

112 Surgical Blvd
#A
Seneca, SC 29672
Phone (864) 885-0608

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1033183124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 POPLAR SPRINGS RD",
            "city": "WESTMINSTER",
            "state": "SC",
            "postal_code": "296933223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SURGICAL BLVD",
            "address_2": "SUITE A",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296726654",
            "telephone_number": "864-885-0608",
            "fax_number": "864-885-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "OSCEOLA",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "11328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETE",
            "last_name": "GILBERT",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seneca, SC

Sources for this page

Verify at the official NPI Registry.