South Suburban Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

32322 Issued in CO

Legal business name

SOUTH SUBURBAN FAMILY MEDICINE

Practice address

7720 S Broadway Ste 480
Littleton, CO 80122-2600

Phone

(303) 346-9490

Fax

(303) 346-9309

NPI assigned

Nov 30, 2006

Last updated

Mar 1, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffry N. Gerber, M.D.NPI 1316031529

Title

President Owner

Phone

(303) 346-9490

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffry N. Gerber, M.D.

  • Family Medicine Physician
  • Littleton, CO
  • NPI 1316031529
  Medicare reassignment NPD Authorized official
• Jessica Crowe, APRN

  • Family Nurse Practitioner
  • Littleton, CO
  • NPI 1437512605
  NPD
• Evangeline Lena Gratz

  • Family Nurse Practitioner
  • Westerville, OH
  • NPI 1689347791
  NPD
• Gretchen R. Nakama, PA-C

  • Physician Assistant
  • Kailua Kona, HI
  • NPI 1053701243
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1053489021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 S BROADWAY STE 480",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222600",
            "telephone_number": "303-346-9490",
            "fax_number": "303-346-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 S BROADWAY STE 480",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222600",
            "telephone_number": "303-346-9490",
            "fax_number": "303-346-9309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SUBURBAN FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "GERBER",
        "authorized_official_first_name": "JEFFRY",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "303-346-9490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "32322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19305851",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Denver Rehabilitation LLC
• South Denver Surgical Services LLC (South Denver Urology Center)
• South Metro Home Care LLC (Assisting Hands Littleton)
• South Metro Mental Health LLC
• South Rocky Medical
• South Sycamore Manor Cares LLC
• Southbridge Family Dentistry P.C.
• Southpark Dentistry P.C.
• Southpark Orthodontics
• Southpark Physical Therapy

• Family Medicine Physician in Littleton, CO
• Providers in Littleton, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.