Claudia G. Gabrielle, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

Q1603 Issued in TX

Practice address

500 Waters Edge Dr Apt 324
Lake Dallas, TX 75065-3090

Phone

(469) 475-6964

Fax

(469) 375-3979

NPI assigned

Jan 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Claudia G Trombly Other name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Claudia Trombly, MD, PLLC

  • General Practice Physician
  • Salem, NH
  • NPI 1104037134
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1083685960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S SHADY SHORES DR UNIT 1952",
            "city": "LAKE DALLAS",
            "state": "TX",
            "postal_code": "750655089",
            "telephone_number": "469-475-6964",
            "fax_number": "469-375-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WATERS EDGE DR APT 324",
            "city": "LAKE DALLAS",
            "state": "TX",
            "postal_code": "750653090",
            "telephone_number": "469-475-6964",
            "fax_number": "469-375-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIELLE",
        "first_name": "CLAUDIA",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q1603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30212336",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAUDIA",
            "last_name": "TROMBLY",
            "middle_name": "G",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sky Dodson, NRCPT, NRCMA
• Evelyn Hanks
• Family Chiropractic & Wellness Center
• Sushila Fort, CCC-SLP
• Mary Ann Fuller, RD LD
• Sloane Garrett
• Spencer Godard, DC
• Roberta Lima Guditis
• Reagan Harper
• Madeline Nicole Hayes Berkhout, SLP-A

• Family Medicine Physician in Lake Dallas, TX
• Providers in Lake Dallas, 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 Feb 25, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.