Gonzalo Gabriel Gurmendi, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

13228 Issued in AL

Practice address

1736 Oxmoor Rd
Suite 103
Birmingham, AL 35209-4058

Phone

(205) 879-2120

Fax

(205) 879-2125

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

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.

• Psychiatry Associates, PC

  • Psychiatry Physician
  • Birmingham, AL
  • NPI 1346592326
  NPD (past) Authorized official
• Soma Healthcare, LLC

  • Multi-Specialty Clinic/Center
  • Homewood, AL
  • NPI 1548839483

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1104910017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 OXMOOR RD",
            "address_2": "SUITE 103",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094058",
            "telephone_number": "205-879-2120",
            "fax_number": "205-879-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 OXMOOR RD",
            "address_2": "SUITE 103",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094058",
            "telephone_number": "205-879-2120",
            "fax_number": "205-879-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURMENDI",
        "first_name": "GONZALO",
        "middle_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "13228",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AL",
            "license": "13228",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "510-79296",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandeep K Gupta, MD
• Morgan Paige Gurel-Headley, MD
• Maranda Gurkin, FNP-C
• Shayna Smith Gurley, CRNP
• William Q Gurley Jr., MD
• Dolores Ann Guschke, RN
• Amelia Mathias Guthrie, RN
• Barton L Guthrie, MD
• Bridgette D Guthrie, M.D.
• Connie S Guthrie

• Psychiatry Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Psychiatry Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.