Enriched Life Medical

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ENRICHED LIFE MEDICAL

Doing business as

Enriched Life Medical
Jon M Rich

Practice address

2412 W Main St
Gun Barrel City, TX 75156-3638

Phone

(903) 309-9373

NPI assigned

Mar 15, 2024

Organization subpart

No

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

Authorized official

Name

Jon M Rich, DONPI 1770520942

Title

Owner

Phone

(903) 309-9373

Specialties & licenses 1

Addresses

Other names 2

• Enriched Life Medical Doing business as
• Jon M Rich Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jon M Rich, D.O.

  • Family Medicine Physician
  • Gun Barrel City, TX
  • NPI 1770520942
  Medicare reassignment NPD Authorized official
• Emily Lauren Miller

  • Family Nurse Practitioner
  • Gun Barrel City, TX
  • NPI 1235095126
  Medicare reassignment NPD (past)

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1043079742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 W MAIN ST",
            "city": "GUN BARREL CITY",
            "state": "TX",
            "postal_code": "751563638",
            "telephone_number": "903-309-9373",
            "fax_number": "903-405-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 W MAIN ST",
            "city": "GUN BARREL CITY",
            "state": "TX",
            "postal_code": "751563638",
            "telephone_number": "903-309-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRICHED LIFE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-309-9373",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enriched Life Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jon M Rich",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Gun Barrel City, TX
• Providers in Gun Barrel City, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.