Active NPI
David Clark Gilman, DO
- Family Medicine Physician
- Spokane Valley, WA
National Provider Identifier
1073661625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OP00D00778
- Practice address
- N 1414 Vereler
BLDG 4
Spokane Valley, WA 99216 - Phone
- (509) 924-4681
- Fax
- (509) 922-7634
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OP00D00778 | WA | Primary |
| Family Medicine Physician | 207Q00000X | 028 | ID |
Addresses
Primary practice location
N 1414 Vereler
BLDG 4
Spokane Valley, WA 99216
Mailing address
1414 N Vercler Rd
BLDG 4
Spokane Valley, WA 99216-1092
Phone (509) 924-4681
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17418 | Other | WA | LABOR & INDUSTRY WASH |
| 1030337 | Medicaid | WA | |
| 003248500 | Other | ID | MEDICAID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028 | ID | MD | Family Medicine Physician |
| OP00D00778 | WA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291075200000",
"number": "1073661625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 N VERCLER RD",
"address_2": "BLDG 4",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992161092",
"telephone_number": "509-924-4681",
"fax_number": "509-922-7634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N 1414 VERELER",
"address_2": "BLDG 4",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "99216",
"telephone_number": "509-924-4681",
"fax_number": "509-922-7634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMAN",
"first_name": "DAVID",
"middle_name": "CLARK",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2010-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "OP00D00778",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "028",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRY WASH",
"identifier": "17418",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1030337",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "003248500",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.